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CAMELLIA HOSPICE OF CENTRAL MISSISSIPPI LLC NPI 1851304406


NPI Information

NPI: 1851304406
Provider Name: CAMELLIA HOSPICE OF CENTRAL MISSISSIPPI, LLC

Doing Business As: ENHABIT HOSPICE OF CENTRAL MISSISSIPPI

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

CLIA Number: 25D1042522

Address:
225 KATHERINE DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 932-9066
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CAMELLIA HOSPICE OF CENTRAL MISSISSIPPI, LLC is a hospice care community based in Flowood, MS. CAMELLIA HOSPICE OF CENTRAL MISSISSIPPI, LLC NPI is 1851304406. The provider is registered as an organization entity type.
The provider Is Doing Business As Enhabit Hospice Of Central Mississippi.

The provider's business location address is:

225 KATHERINE DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 932-9066
Fax: (601) 933-0811

The provider's authorized official is Crissy Buchanan Carlisle .
The authorized official title is Chief Financial Officer and has the following contact phone number (214) 239-6500.

The CLIA number assigned to this NPI record is 25D1042522 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/3/2022.


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 Based131MISSISSIPPIYes

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
101627264MEDICAIDMISSISSIPPI

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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