MEDICARE: HOSPICE IN HIS CARE, 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

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	:	1831267558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE IN HIS CARE, LLC

Provider Business Mailing Address
First Line	:	4301 BLUEBONNET BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-9643
Country	:	US
Telephone Number	:	225-214-0010
Fax Number	:	225-490-4237

Provider Business Practice Location Address
First Line	:	4301 BLUEBONNET BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-9643
Country	:	US
Telephone Number	:	225-214-0010
Fax Number	:	225-490-4237

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DAVID MARTIN
Credential	:
Telephone Number	:	504-491-4988

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	05/01/2023

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Directions to “HOSPICE IN HIS CARE, LLC ” Practice Location

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