Provider Demographics
NPI:1760438253
Name:ST. HELENA HOSPICE, LLC
Entity Type:Organization
Organization Name:ST. HELENA HOSPICE, LLC
Other - Org Name:HOSPICE SPECIALISTS OF LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHEHARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-812-0532
Mailing Address - Street 1:4200 EUPHROSINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1315
Mailing Address - Country:US
Mailing Address - Phone:504-401-2900
Mailing Address - Fax:504-336-2303
Practice Address - Street 1:1761 PHYSICIANS PARK DR STE A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3223
Practice Address - Country:US
Practice Address - Phone:985-262-7590
Practice Address - Fax:866-422-9549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA181251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1760438253OtherNPI
LA1581453Medicaid
LA19-1621OtherMEDICARE
LA1760438253OtherNPI
LA191621Medicare Oscar/Certification