HOMECARE HOSPICE SOUTH LLC NPI 1518219773

NPI Information

NPI: 1518219773
Provider Name: HOMECARE HOSPICE SOUTH, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 25D2125238

Address:
2903 ARLINGTON LOOP
HATTIESBURG, MS
ZIP 39401
Phone: (601) 906-6105
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HOMECARE HOSPICE SOUTH, LLC is a hospice care community based in Hattiesburg, MS. HOMECARE HOSPICE SOUTH, LLC NPI is 1518219773. The provider is registered as an organization entity type.

The provider's business location address is:

2903 ARLINGTON LOOP
HATTIESBURG, MS
ZIP 39401-115
Phone: (601) 906-6105
Fax: (601) 602-2847

The provider's authorized official is Lewis Clark Blair .
The authorized official title is Ceo and has the following contact phone number (205) 652-6167.

The CLIA number assigned to this NPI record is 25D2125238 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2012 and was last updated on 4/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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