Reformation, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REFORMATION, LLC

Doing business as

Reformation, LLC

Practice address

5870 Belmont Rd
Hernando, MS 38632-9013

Phone

(901) 825-6883

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kasie Collins

Title

Director

Phone

(190) 182-5688

Specialties & licenses 1

Addresses

Other names 1

• Reformation, LLC Doing business as

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1033719893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 BELMONT RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386329013",
            "telephone_number": "901-825-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 BELMONT RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386329013",
            "telephone_number": "901-825-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORMATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KASIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "190-182-5688"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reformation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbey Rankin
• Redmed, LLC (RedMed)
• Redmed, LLC
• Jessica Lynne Redmond
• Tanya Redmond, CCSS
• Region IV Desoto County Pharmacy
• Region IV Mental Health Service
• Region IV Mental Health Services
• Region IV Mental Health Services-Desoto Adults
• Region IV Mental Health Services-Desoto Childrens

• Community Based Hospice Care Agency in Hernando, MS
• Providers in Hernando, 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 Oct 29, 2020; 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.