STA-HOME HOSPICE NPI 1821145285

NPI Information

NPI: 1821145285
Provider Name: STA-HOME HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
406 BRIARWOOD DR
SUITE 500
JACKSON, MS
ZIP 39206
Phone: (601) 991-1933
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STA-HOME HOSPICE is a hospice care community based in Jackson, MS. STA-HOME HOSPICE NPI is 1821145285. The provider is registered as an organization entity type.

The provider's business location address is:

406 BRIARWOOD DR
SUITE 500
JACKSON, MS
ZIP 39206-039
Phone: (601) 991-1933
Fax: (601) 991-3343

The provider's authorized official is Glenn D. Wood .
The authorized official title is Director Of Compliance and has the following contact phone number (601) 956-5100.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 3/29/2017.

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		023	MISSISSIPPI	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	000070004	OTHER	MISSISSIPPI	BCBS OF MS
2	251511	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	PALMETTO
3	00770002	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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