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SOUTHERN GRACE HOSPICE NORTH LLC
NPI 1093522245
Hospice Care, Community Based in Hammond, LA

Active since December 11, 2024CLIA Certified · 2 labs
510 E MORRIS AVE, HAMMOND, LA 70403(985) 277-1945(985) 277-1946 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Grace Hospice North Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN GRACE HOSPICE NORTH LLC (NPI 1093522245) is a healthcare organization registered as a hospice care, community based in Hammond, Louisiana and active in the NPI registry since December 2024. The organization holds 2 active CLIA laboratory certificates and lists Timothy A Bergeron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093522245
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSOUTHERN GRACE HOSPICE NORTH LLC
Location Address510 E MORRIS AVEHammond, LA 70403-4352
Mailing Address458a Heymann Blvd Bldg ALafayette, LA 70503-2617 · (337) 366-8505 · Fax (337) 366-8565
Phone(985) 277-1945
Fax(985) 277-1946
Organization SubpartNo
Authorized OfficialTimothy A BergeronCeo · (985) 264-3940
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1093522245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
510 E MORRIS AVE, Hammond, LA 70403
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2316722

Southern Grace Hospice North LLC · Hammond, LA
Active · expires Jan 9, 2027
CLIA Number19D2316722
Laboratory TypeHospice
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorNicole R. Pogue
Laboratory Phone(985) 277-1945
Laboratory LocationSouthern Grace Hospice North LLC510 East Morris Ave, Hammond, LA 70403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2316725

Southern Grace Hospice West LLC · Lafayette, LA
Active · expires Jan 9, 2027
CLIA Number19D2316725
Laboratory TypeHospice
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorNicole R. Pogue
Laboratory Phone(337) 366-8505
Laboratory LocationSouthern Grace Hospice West LLC458 A. Heymann Blvd., Lafayette, LA 70503
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Grace Hospice North LLC's NPI number?

The NPI number for Southern Grace Hospice North LLC is 1093522245. It was assigned to this organization in the NPPES registry on December 11, 2024.

Where is Southern Grace Hospice North LLC located?

Southern Grace Hospice North LLC is located at 510 E Morris Ave, Hammond, LA 70403. The listed phone number is (985) 277-1945.

What is Southern Grace Hospice North LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Southern Grace Hospice North LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southern Grace Hospice North LLC was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.