| Organization Name: | GENESIS HOSPICE, LLC |
| NPI Number: | 1558330191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P STAGG (OWNER/MANAGER) |
| Mailing Address: | 42078 Veterans Ave Suite B Hammond |
| State: | LA US |
| Postal Code: | 704031490 |
| Phone Number: | 9854290210 |
| Fax Number: | 9854292635 |
| NPI Enumeration Date: | 03/16/2006 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 86 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |