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SOUTH MISSISSIPPI HOME HEALTH INC. NPI 1295114460


NPI Information

NPI: 1295114460
Provider Name: SOUTH MISSISSIPPI HOME HEALTH, INC.

Doing Business As: DEACONESS HOSPICE

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

CLIA Number: 25D2235903

Address:
1385 JOHNNY JOHNSON DR STE A
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 823-5990
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SOUTH MISSISSIPPI HOME HEALTH, INC. is a hospice care community based in Brookhaven, MS. SOUTH MISSISSIPPI HOME HEALTH, INC. NPI is 1295114460. The provider is registered as an organization entity type.
The provider Is Doing Business As Deaconess Hospice.

The provider's business location address is:

1385 JOHNNY JOHNSON DR STE A
BROOKHAVEN, MS
ZIP 39601-641
Phone: (601) 823-5990
Fax: (601) 823-5992

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

The CLIA number assigned to this NPI record is 25D2235903 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 2/8/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based167MISSISSIPPIYes

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: 5/5/2024

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