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General NPI Number Information
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NPI Number | 1205904661
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Entity Type | Organization
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Legal Business Name | PASSAGES HOSPICE NORTH - CENTRAL, LLC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 909 ELM ST STE B
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City | MINDEN
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State | LA
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Zip | 71055-2700
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Country | US
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Telephone | 318-371-1140
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Fax | 866-230-1701
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Provider Business Mailing Address
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Address Line | 909 ELM ST STE B
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City | MINDEN
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State | LA
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Zip | 71055-2700
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Country | US
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Telephone | 318-371-1140
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Fax | 866-230-1701
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Authorized Official
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Title or Position | VICE PRESIDENT HOSPICE OPERATIONS
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Name | CARLIE STEVENSON DAY
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Credential |
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Telephone | 318-371-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 71
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 2203782457-I
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2203782457
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License Number State | LA
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