Provider Demographics
NPI:1306869771
Name:ST. CATHERINE'S HOSPICE, LLC
Entity type:Organization
Organization Name:ST. CATHERINE'S HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:H
Authorized Official - Last Name:PARKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-709-1408
Mailing Address - Street 1:421 W AIRLINE HWY STE L
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3820
Mailing Address - Country:US
Mailing Address - Phone:985-651-9733
Mailing Address - Fax:985-651-9712
Practice Address - Street 1:421 W AIRLINE HWY STE L
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3820
Practice Address - Country:US
Practice Address - Phone:985-651-9733
Practice Address - Fax:985-651-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA183251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1581658Medicaid
LA191623Medicare Oscar/Certification