MEDICARE: HOSPICE CARE OF LOUISIANA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	2203781508	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316021744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE CARE OF LOUISIANA, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DR STE 400
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-377-7022
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	184 BARCLAY BLVD STE 203
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-6671
Country	:	US
Telephone Number	:	318-255-2033
Fax Number	:	318-255-2077

Authorized Official
Title or Position	:	SVP GENERAL COUNSEL
Name	:	RUSSELL ADKINS
Credential	:
Telephone Number	:	615-926-0340

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	09/23/2025

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