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NORTH DELTA HOSPICE AND PALLIATIVE SERVICESLLC NPI 1962460568


NPI Information

NPI: 1962460568
Provider Name: NORTH DELTA HOSPICE AND PALLIATIVE SERVICES,LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
520 GOODMAN RD E
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 393-0170
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NORTH DELTA HOSPICE AND PALLIATIVE SERVICES,LLC is a hospice care community based in Southaven, MS. NORTH DELTA HOSPICE AND PALLIATIVE SERVICES,LLC NPI is 1962460568. The provider is registered as an organization entity type.

The provider's business location address is:

520 GOODMAN RD E
SOUTHAVEN, MS
ZIP 38671-526
Phone: (662) 393-0170
Fax: (662) 393-0171

The provider's authorized official is Raymond E Vallier .
The authorized official title is Administrator/owner and has the following contact phone number (901) 490-5999.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/17/2014.


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
1315D00000XHospice, InpatientNo
2251G00000XHospice Care, Community Based137MISSISSIPPIYes

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
1251629MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI
2251626MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

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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