Provider Demographics
NPI:1740430636
Name:EGAN HOSPICE SERVICES, L.L.C.
Entity Type:Organization
Organization Name:EGAN HOSPICE SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:KUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:504-835-4474
Mailing Address - Street 1:3121 21ST ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4916
Mailing Address - Country:US
Mailing Address - Phone:504-835-4474
Mailing Address - Fax:504-835-8154
Practice Address - Street 1:3121 21ST ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4916
Practice Address - Country:US
Practice Address - Phone:504-835-4474
Practice Address - Fax:504-835-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA242251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based