MERCY HOSPICE LLC NPI 1902105976

NPI Information

  • NPI: 1902105976
  • Provider Name: MERCY HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 25D1072309
  • Address: 1111 STARK RD
    STARKVILLE, MS
    ZIP 39759
  • Phone: (662) 338-0007

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NPI Details

MERCY HOSPICE LLC is a hospice care community based in Starkville, MS. MERCY HOSPICE LLC NPI is 1902105976. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1111 STARK RD
STARKVILLE, MS
ZIP 39759-556
Phone: (662) 338-0007
Fax: (662) 338-0025

The provider's authorized official is Lewis C. Blair .
The authorized official title is Ceo and has the following contact phone number (205) 652-6167.

The CLIA number assigned to this NPI record is 25D1072309 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2011 and was last updated on 10/12/2025.

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 Based151MISSISSIPPIYes

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
105677023MEDICAIDMISSISSIPPI

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: 11/21/2025

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