# PALLIATIVE CARE AT HEART, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083222004
- **Authorized official:** NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 1675 LAKELAND DR STE 407, JACKSON, MS 39216-4845
- **Practice address phone:** (662) 350-0830
- **Practice address fax:** (769) 208-4512
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2020
- **Last updated:** 05/20/2022