Organization
LAKESIDE HOSPICE, LLC
Active
Other names
VitalCaring Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MARTIN (LICENSING MANAGER)
(903) 787-7609
Entity
Organization
Contact information
Practice address
42268 VETERANS AVE STE A, HAMMOND, LA 70403-1423
(504) 456-6011
(504) 456-6964
Mailing address
8150 N CENTRAL EXPY STE 1800, DALLAS, TX 75206-1883
(469) 839-3777
(469) 983-2083
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
173
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580155
—
LA
Enumeration date
11/23/2009
Last updated
03/27/2026
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