Provider Demographics
NPI:1952491946
Name:HOSPICE CARE OF AVOYELLES PARISH
Entity Type:Organization
Organization Name:HOSPICE CARE OF AVOYELLES PARISH
Other - Org Name:ALLEGIANCE HOSPICE & PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCK
Authorized Official - Middle Name:M
Authorized Official - Last Name:BORDELON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-226-8202
Mailing Address - Street 1:940 W BONTEMPS ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-2387
Mailing Address - Country:US
Mailing Address - Phone:318-409-5253
Mailing Address - Fax:
Practice Address - Street 1:940 W BONTEMPS ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2387
Practice Address - Country:US
Practice Address - Phone:318-409-5253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA133251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4505319Medicaid
LA191584Medicare Oscar/Certification