Saint Jude Hospice-Mississippi,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

094 Issued in MS

Legal business name

SAINT JUDE HOSPICE-MISSISSIPPI,LLC

Doing business as

Saint Jude Hospice

Practice address

3166 W Jackson St
Suite 2
Tupelo, MS 38801-7154

Phone

(662) 841-5907

Fax

(662) 841-5910

NPI assigned

Sep 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian M. Wegener, CPA

Title

Chief Financial Officer

Phone

(515) 221-9155

Specialties & licenses 1

Addresses

Other names 1

• Saint Jude Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1033426820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 W JACKSON ST",
            "address_2": "SUITE 2",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017154",
            "telephone_number": "662-841-5907",
            "fax_number": "662-841-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 W JACKSON ST",
            "address_2": "SUITE 2",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017154",
            "telephone_number": "662-841-5907",
            "fax_number": "662-841-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JUDE HOSPICE-MISSISSIPPI,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "WEGENER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "515-221-9155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Jude Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connie R Sadler, R.N
• Endia Sadler, LMW
• Johnny Sadler
• Rhonda F Sage, M.S., CCC-A
• Laura Ashley Saia, PA-C
• Casey Ellen Salazar
• Sam's East, Inc. (Sam's Vision Center 30-6329)
• Samaritan Garden Personal Care Home
• Sams East Inc (Sams Pharmacy 10-6329)
• Jane Sams

• Community Based Hospice Care Agency in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.