NPIMap

Organization Active NPI

Magnolia Regional Health Center

Doing business as MRHC - Hospice

  • Community Based Hospice Care Agency
  • Corinth, MS
National Provider Identifier
1093879041
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Doing business as
MRHC - Hospice
Practice address
1001 S Harper Rd
Corinth, MS 38834-6646
Phone
(662) 293-1405
Fax
(662) 286-4242
NPI assigned
Dec 21, 2006
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MAGNOLIA REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Mrs. Marquetta Trice, LPN, LBSW, MPH, MBA
Title
Homecare Director
Phone
(662) 293-1401

Specialties & licenses 1

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

Addresses

Primary practice location

1001 S Harper Rd
Corinth, MS 38834-6646

Mailing address

1001 S Harper Rd
Corinth, MS 38834-6646
Phone (662) 293-1405

Other names 1

  • MRHC - Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121210000239 MS Part A Provider - Hospice 9739078460 Practice locations: Corinth, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093879041. Details of each certification follow.

Hospice certification: CCN 251508

Legal name
MAGNOLIA REGIONAL HEALTH CENTER
Doing business as
MRHC-HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 3, 1990
Last certification
Apr 1, 2021
Ownership / control type
Government - County
Organization structure
GovernmentNon-profit
Enrollment address
1001 S Harper Rd
Corinth, MS 38834-6646

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Magnolia Regional Health Center HH and Hospice AgencyCCN 251508 · All quality measures
Ownership
Government
Certified
May 3, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Regionl Health18 organizations share this tax ID, including this one
Part of
Magnolia Regionl Health

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Hobson Individual Corporate OfficerCeo Feb 10, 2020
W-2 Managing EmployeeCeo Feb 10, 2020
Stephen R Thames Individual Corporate OfficerCfo Nov 1, 2023
W-2 Managing EmployeeCfo Nov 1, 2023
Brandon Reece Individual W-2 Managing EmployeeExecutive Director of Physici Sep 22, 2022
Hannah Bascomb Individual W-2 Managing EmployeeDirector of Revenue Cycle Nov 1, 2023

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Regional Health CenterCorinth, MS, CCN 250009 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1966
Jul 1, 1966
Magnolia Regional Health Center - Behavioral HealthCorinth, MS, CCN 25S009 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Oct 1, 1992
Oct 1, 1992
Magnolia Express CareCorinth, MS, CCN 258689 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2024
Nov 1, 2024
Magnolia Women's ClinicCorinth, MS, CCN 258690 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2024
Nov 1, 2024
Magnolia Pediatric ClinicCorinth, MS, CCN 258691 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1093879041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346646",
            "telephone_number": "662-293-1405",
            "fax_number": "662-286-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346646",
            "telephone_number": "662-293-1405",
            "fax_number": "662-286-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "TRICE",
        "authorized_official_first_name": "MARQUETTA",
        "authorized_official_title_or_position": "HOMECARE DIRECTOR",
        "authorized_official_telephone_number": "662-293-1401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN, LBSW, MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRHC - Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.