OMEGA HOSPICE LLC NPI 1568479699

NPI Information

NPI: 1568479699
Provider Name: OMEGA HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
970 SWINNEA RDG
SUITE 202
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 536-3191
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OMEGA HOSPICE, LLC is a hospice care community based in Southaven, MS. OMEGA HOSPICE, LLC NPI is 1568479699. The provider is registered as an organization entity type.

The provider's business location address is:

970 SWINNEA RDG
SUITE 202
SOUTHAVEN, MS
ZIP 38671-037
Phone: (662) 536-3191
Fax: (662) 536-3196

The provider's authorized official is Ramona Kaye Matthews .
The authorized official title is Ceo/administrator and has the following contact phone number (662) 536-3191.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/22/2020.

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		108	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05257792	MEDICAID	MISSISSIPPI

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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