Provider Demographics
NPI:1952924672
Name:PASSAGES PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:PASSAGES PALLIATIVE CARE LLC
Other - Org Name:PASSAGES PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CARLIE
Authorized Official - Middle Name:STEVENSON
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-371-1140
Mailing Address - Street 1:617 DUBLIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-1019
Mailing Address - Country:US
Mailing Address - Phone:504-875-4204
Mailing Address - Fax:504-875-4522
Practice Address - Street 1:617 DUBLIN ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-1019
Practice Address - Country:US
Practice Address - Phone:504-875-4204
Practice Address - Fax:504-875-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1H2101OtherMEDICARE