ST. JUDE HOSPICE MISSISSIPPI LLC NPI 1750471942

NPI Information

NPI: 1750471942
Provider Name: ST. JUDE HOSPICE MISSISSIPPI, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3166 W JACKSON ST
SUITE # 2
TUPELO, MS
ZIP 38801
Phone: (662) 841-5907
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ST. JUDE HOSPICE MISSISSIPPI, LLC is a hospice care community based in Tupelo, MS. ST. JUDE HOSPICE MISSISSIPPI, LLC NPI is 1750471942. The provider is registered as an organization entity type.

The provider's business location address is:

3166 W JACKSON ST
SUITE # 2
TUPELO, MS
ZIP 38801-154
Phone: (662) 841-5907
Fax: (662) 841-5910

The provider's authorized official is Thomas J Moreland .
The authorized official title is Ceo and has the following contact phone number (515) 221-9155.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/24/2010.

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		094	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	251589	MEDICARE OSCAR/CERTIFICATION	MISSISSIPPI
2	03504070	MEDICAID	MISSISSIPPI
3	251589	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	HOSPICE HOME CARE

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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