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HOSPICE CARE OF MISSISSIPPI LLC NPI 1811900467


NPI Information

NPI: 1811900467
Provider Name: HOSPICE CARE OF MISSISSIPPI, LLC

Doing Business As: ENHABIT HOSPICE

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

CLIA Number: 25D1017237

Address:
135 MAYFAIR RD STE C
HATTIESBURG, MS
ZIP 39402
Phone: (601) 264-8691
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HOSPICE CARE OF MISSISSIPPI, LLC is a hospice care community based in Hattiesburg, MS. HOSPICE CARE OF MISSISSIPPI, LLC NPI is 1811900467. The provider is registered as an organization entity type.
The provider Is Doing Business As Enhabit Hospice.

The provider's business location address is:

135 MAYFAIR RD STE C
HATTIESBURG, MS
ZIP 39402-464
Phone: (601) 264-8691
Fax: (601) 264-8692

The provider's authorized official is Crissy Buchanan Carl .
The authorized official title is Chief Financial Officer and has the following contact phone number (214) 239-6500.

The CLIA number assigned to this NPI record is 25D1017237 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 4/28/2023.


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 Based089MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105275061MEDICAIDMISSISSIPPI

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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