Provider Demographics
NPI:1689658023
Name:COMMUNITY HOSPICE LLC
Entity type:Organization
Organization Name:COMMUNITY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHITMAN JR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-402-3050
Mailing Address - Street 1:1402 S. MAGNOLIA ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403
Mailing Address - Country:US
Mailing Address - Phone:985-402-3050
Mailing Address - Fax:985-334-4208
Practice Address - Street 1:1402 S. MAGNOLIA ST
Practice Address - Street 2:SUITE F
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403
Practice Address - Country:US
Practice Address - Phone:985-402-3050
Practice Address - Fax:985-334-4208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1580937Medicaid
LA1580937Medicaid