Healthcare Provider Details

I. General information

NPI: 1457429813
Provider Name (Legal Business Name): PASSAGES HOSPICE NORTH - NORTHEAST, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 AUBURN AVE STE F
MONROE LA
71201-5196
US

IV. Provider business mailing address

909 ELM ST STE B
MINDEN LA
71055-2700
US

V. Phone/Fax

Practice location:
  • Phone: 318-387-1115
  • Fax: 866-981-5917
Mailing address:
  • Phone: 318-387-1115
  • Fax: 866-981-5917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number305
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number83
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER MCMAHON
Title or Position: CEO
Credential:
Phone: 504-214-4000