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CANON HOSPICE LLC NPI 1275632762


NPI Information

NPI: 1275632762
Provider Name: CANON HOSPICE LLC
Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization

CLIA Number: 19D1029410

Address:
13702 COURSEY BLVD STE 6A
BATON ROUGE, LA
ZIP 70817
Phone: (225) 926-1404
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CANON HOSPICE LLC is a hospice inpatient in Baton Rouge, LA. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. CANON HOSPICE LLC NPI is 1275632762. The provider is registered as an organization entity type.

The provider's business location address is:

13702 COURSEY BLVD STE 6A
BATON ROUGE, LA
ZIP 70817-370
Phone: (225) 926-1404
Fax: (225) 926-1403

The provider's authorized official is Shiva K Akula .
The authorized official title is Owner and has the following contact phone number (504) 818-2723.

The CLIA number assigned to this NPI record is 19D1029410 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, Inpatient149LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11501054MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.