Healthcare Provider Details

I. General information

NPI: 1801899315
Provider Name (Legal Business Name): MEMORIAL HOSPICE AND PALLIATIVE CARE OF NEW ORLEANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 SAINT CHARLES AVE FL 5
NEW ORLEANS LA
70115-4637
US

IV. Provider business mailing address

PO BOX 650
MANDEVILLE LA
70470-0650
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-0229
  • Fax: 504-899-0255
Mailing address:
  • Phone: 985-626-3281
  • Fax: 985-626-8773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number164-I
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number164
License Number StateLA

VIII. Authorized Official

Name: STEPHANIE SCHEDLER
Title or Position: CEO
Credential:
Phone: 985-626-3281