Healthcare Provider Details
I. General information
NPI: 1932627338
Provider Name (Legal Business Name): HOSPICE FOUNDATION OF GREATER BATON ROUGE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2017
Last Update Date: 07/21/2022
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 FLORIDA BOULEVARD
BATON ROUGE LA
70806
US
IV. Provider business mailing address
3600 FLORIDA BOULEVARD
BATON ROUGE LA
70806
US
V. Phone/Fax
- Phone: 225-767-4673
- Fax: 225-769-8113
- Phone: 225-767-4673
- Fax: 225-769-8113
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
CATHERINE
MIXON
SCHENDEL
Title or Position: CEO
Credential:
Phone: 225-767-4673