Provider Demographics
NPI:1083820484
Name:HEART OF HOSPICE OF NEW ORLEANS LLC
Entity type:Organization
Organization Name:HEART OF HOSPICE OF NEW ORLEANS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-251-9781
Mailing Address - Street 1:4520 WICHERS DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3135
Mailing Address - Country:US
Mailing Address - Phone:504-341-0038
Mailing Address - Fax:504-341-0320
Practice Address - Street 1:4520 WICHERS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3135
Practice Address - Country:US
Practice Address - Phone:504-341-0038
Practice Address - Fax:504-341-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based