GENESIS HOSPICE LLC NPI 1558330191

NPI Information

  • NPI: 1558330191
  • Provider Name: GENESIS HOSPICE, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: MODERN HOSPICE, LLC
  • CLIA Number: 19D2141633
  • Address: 15781 PROFESSIONAL PLZ
    HAMMOND, LA
    ZIP 70403
  • Phone: (985) 429-0210

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NPI Details

GENESIS HOSPICE, LLC is a hospice care community based in Hammond, LA. GENESIS HOSPICE, LLC NPI is 1558330191. The provider is registered as an organization entity type.
The provider Is Doing Business As Modern Hospice, Llc.

The provider's business location address is:

15781 PROFESSIONAL PLZ
HAMMOND, LA
ZIP 70403-452
Phone: (985) 429-0210
Fax: (877) 293-6687

The provider's authorized official is David Joseph Martin .
The authorized official title is Owner/manager and has the following contact phone number (504) 491-4988.

The CLIA number assigned to this NPI record is 19D2141633 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 5/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based86LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11580481MEDICAIDLOUISIANA

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: 11/21/2025

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