GAMBLE HOSPICE CARE NORTHWEST, LLC; NPI #1225079643

Contact Information

GAMBLE HOSPICE CARE NORTHWEST, LLC

8950 E KINGS HWY
SHREVEPORT, LA 71115

Phone: 318-861-2150
Fax: 318-861-2157
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Hospice, Inpatient	315D00000X

Indicates primary specialty

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NPI Profile & details for GAMBLE HOSPICE CARE NORTHWEST, LLC

NPI Number 1225079643

LBN Legal business name GAMBLE HOSPICE CARE NORTHWEST, LLC

Authorized official MICHAEL BEAL - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/09/2006

Last updated 03/03/2020 - About 6 years ago

Identifiers

LA	License #	150
LA	License #	2203781702
LA	License #	2203781702-I
LA	Medicaid	1581089

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GAMBLE HOSPICE CARE NORTHWEST, LLC

Contact Information

Specialty

Hospice Care, Community Based

Hospice, Inpatient

NPI Profile & details for GAMBLE HOSPICE CARE NORTHWEST, LLC

Reviews for GAMBLE HOSPICE CARE NORTHWEST, LLC