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HEART OF HOSPICE LLC NPI 1942731914


NPI Information

NPI: 1942731914
Provider Name: HEART OF HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 25D2013430

Address:
1675 LAKELAND DR STE 407
JACKSON, MS
ZIP 39216
Phone: (662) 350-0830
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HEART OF HOSPICE, LLC is a hospice care community based in Jackson, MS. HEART OF HOSPICE, LLC NPI is 1942731914. The provider is registered as an organization entity type.

The provider's business location address is:

1675 LAKELAND DR STE 407
JACKSON, MS
ZIP 39216-845
Phone: (662) 350-0830
Fax: (769) 208-4512

The provider's authorized official is Nicholas Gachassin .
The authorized official title is Executive Vice President and has the following contact phone number (337) 233-1307.

The CLIA number assigned to this NPI record is 25D2013430 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 7/12/2022.


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 Based196MISSISSIPPIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.