OrganizationActive
Palliative Care at Heart, LLC
NPI 1043840176 · Hospice and Palliative Medicine (Family Medicine) Physician · Covington, LA
Provider details
- NPI number
- 1043840176
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jim Petrus, Cfo(843) 410-6691
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1001 Highway 190 East Service Rd Ste 202
Covington, LA 70433-4963
Phone: (985) 375-1192
Street-level locationGet directions
Mailing address
134 Columbus St
Charleston, SC 29403-4809
Registry dates
- Enumerated
- 2020-01-16
- Last updated
- 2021-09-22
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.