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MAGNOLIA HOSPICE LLC NPI 1790159358


NPI Information

NPI: 1790159358
Provider Name: MAGNOLIA HOSPICE, LLC

Doing Business As: SPRING VALLEY HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 25D2000670

Address:
1018 N GLOSTER ST STE J
TUPELO, MS
ZIP 38804
Phone: (662) 890-5554
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MAGNOLIA HOSPICE, LLC is a hospice care community based in Tupelo, MS. MAGNOLIA HOSPICE, LLC NPI is 1790159358. The provider is registered as an organization entity type.
The provider Is Doing Business As Spring Valley Hospice.

The provider's business location address is:

1018 N GLOSTER ST STE J
TUPELO, MS
ZIP 38804-234
Phone: (662) 890-5554
Fax: (662) 890-5746

The provider's authorized official is Kristi Kenslow .
The authorized official title is Manager/coo and has the following contact phone number (501) 558-4122.

The CLIA number assigned to this NPI record is 25D2000670 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2015 and was last updated on 9/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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

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