Provider Demographics
NPI:1780695833
Name:HOSPICE CARE 2000 LLC
Entity type:Organization
Organization Name:HOSPICE CARE 2000 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:337-562-1140
Mailing Address - Street 1:1901 OAK PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-8915
Mailing Address - Country:US
Mailing Address - Phone:337-562-1140
Mailing Address - Fax:337-562-1142
Practice Address - Street 1:1835 OAK PARK BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8992
Practice Address - Country:US
Practice Address - Phone:337-562-1440
Practice Address - Fax:337-562-1876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203782080251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1581101Medicaid
LA1581101Medicaid