MEDICARE: MAHOGANY HOSPICE CARE OF LOUISIANA, INC

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

General Provider Information

NPI Number	:	1639356868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAHOGANY HOSPICE CARE OF LOUISIANA, INC

Provider Business Mailing Address
First Line	:	3414 MOSS ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-6107
Country	:	US
Telephone Number	:	337-232-5992
Fax Number	:	337-232-5929

Provider Business Practice Location Address
First Line	:	3414 MOSS ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70507-6107
Country	:	US
Telephone Number	:	337-232-5992
Fax Number	:	337-232-5929

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TONY LOUIS SUGGS
Credential	:	RN
Telephone Number	:	337-232-5992

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	01/30/2008

Similar Medicare Providers

1982604419 — DR. PATRICK DEVINCENT MOORE M.D.
Practice Location Address:

3414 MOSS ST , SUITE F&G
LAFAYETTE, LA
70507-6107

Practice Phone: 337-706-8986
Practice Fax: 337-706-8714

1225156151 — DR. WILLIAM FREDERICK KORTUM III MD
Practice Location Address:

3414 MOSS ST STE A
LAFAYETTE, LA
70507-6107

Practice Phone: 337-235-1212
Practice Fax:

1790940294 — JAMIE N SMITH MPH, P.A.-C
Practice Location Address:

3414 MOSS ST , STE F
LAFAYETTE, LA
70507-6107

Practice Phone: 337-706-8986
Practice Fax: 337-706-8714

1811149305 — PREMIER COMMUNITY SERVICES, LLC
Practice Location Address:

3414 MOSS ST , SUITE C
LAFAYETTE, LA
70507-6107

Practice Phone: 337-269-8915
Practice Fax: 337-269-8992

1821239203 — PREMIER COMMUNITY SERVICES
Practice Location Address:

3414 MOSS ST , STE C
LAFAYETTE, LA
70507-6107

Practice Phone: 337-269-8990
Practice Fax: 225-272-1940

1710210430 — PREMIER COMMUNITY SERVICES, LLC
Practice Location Address:

3414 MOSS ST , SUITE G
LAFAYETTE, LA
70507-6107

Practice Phone: 337-269-8990
Practice Fax: 225-272-1940

Directions to “MAHOGANY HOSPICE CARE OF LOUISIANA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.