GENESIS HOSPICE CARE NPI 1518067834

NPI Information

NPI: 1518067834
Provider Name: GENESIS HOSPICE CARE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
201 W SUNFLOWER RD
POB 1888
CLEVELAND, MS
ZIP 38732
Phone: (662) 846-0922
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GENESIS HOSPICE CARE is a hospice care community based in Cleveland, MS. GENESIS HOSPICE CARE NPI is 1518067834. The provider is registered as an organization entity type.

The provider's business location address is:

201 W SUNFLOWER RD
POB 1888
CLEVELAND, MS
ZIP 38732-637
Phone: (662) 846-0922
Fax: (662) 846-0833

The provider's authorized official is Charline Brandon .
The authorized official title is Administrator and has the following contact phone number (662) 846-0922.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

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
1	251G00000X	Hospice Care, Community Based				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4070046	OTHER	MISSISSIPPI	BLUE CROSS BLUE SHIELD
2	00770306	MEDICAID	MISSISSIPPI

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

NPI Synchronization or Removal

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