Provider Demographics
NPI:1245316298
Name:LOUISIANA HOSPICE OF GREATER NEW ORLEANS
Entity type:Organization
Organization Name:LOUISIANA HOSPICE OF GREATER NEW ORLEANS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELPHENIA
Authorized Official - Middle Name:MONTGOMERY
Authorized Official - Last Name:LODION
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:504-248-5300
Mailing Address - Street 1:7240 CROWDER BLVD SUITE 207
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126
Mailing Address - Country:US
Mailing Address - Phone:504-248-5300
Mailing Address - Fax:504-248-5302
Practice Address - Street 1:7240 CROWDER BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126
Practice Address - Country:US
Practice Address - Phone:504-248-5300
Practice Address - Fax:504-248-5302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA358251G00000X
251G00000X
LA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1011304Medicaid