Active NPI
Aseracare Hospice - Meridian, LLC
Doing business as AseraCare Hospice
- Inpatient Hospice
- Meridian, MS
National Provider Identifier
1043258478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- Legal business name
- ASERACARE HOSPICE - MERIDIAN, LLC
- Doing business as
- AseraCare Hospice
- Practice address
- 4825 Poplar Springs Dr
Meridian, MS 39305-2625 - Phone
- (901) 758-1450
- NPI assigned
- Jun 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly A Jones
- Title
- Secretary
- Phone
- (479) 201-4840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Hospice | 315D00000X | Primary |
Addresses
Primary practice location
4825 Poplar Springs Dr
Meridian, MS 39305-2625
Mailing address
4825 Poplar Springs Dr
Meridian, MS 39305-2625
Phone (901) 758-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770085 | Medicaid | MS |
Other names 1
- AseraCare Hospice
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Amedisys Hospice
- Community Based Hospice Care Agency
- Greenville, NC
- NPI 1619918125
Member Of
Locations
4825 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 482-7947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043258478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 POPLAR SPRINGS DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052625",
"telephone_number": "901-758-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 POPLAR SPRINGS DR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052625",
"telephone_number": "901-758-1450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASERACARE HOSPICE - MERIDIAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "479-201-4840"
},
"taxonomies": [
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770085",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AseraCare Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.