NPIMap

Cornerstone Hospice Palliative Care, LLC

Organization Active NPI Community Based Hospice Care Agency · Olive Branch, MS

NPI 1063501401 · NPPES record last updated Dec 11, 2009

Key facts

NPI
1063501401
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
CORNERSTONE HOSPICE PALLIATIVE CARE, LLC
Practice address
6229 Highway 305 N
Suite D
Olive Branch, MS 38654-3082
Phone
(662) 890-7230
Fax
(662) 890-7241
NPI assigned
Oct 12, 2006
Organization subpart
No

Authorized official

Name
Mrs. Ramona Matthews
Title
President & Chief Executive Officer
Phone
(662) 890-7230

National Provider Directory

Locations

6229 Highway 305 N
Ste D
Olive Branch, MS 38654
Phone (662) 890-7230

1703 City Ave N
Ripley, MS 38663
Phone (662) 837-8457

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

6229 Highway 305 N
Suite D
Olive Branch, MS 38654-3082

Mailing address

6229 Highway 305 N
Suite D
Olive Branch, MS 38654-3082
Phone (662) 890-7230

Other identifiers

IdentifierTypeStateIssuer
06008241MedicaidMS

Other providers in Olive Branch, MS

All providers in Olive Branch, MS · Community Based Hospice Care Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.