Organization Active NPI

Carol'S Hospice & Palliative Services of Shelby, Mississippi, Inc.

  • Community Based Hospice Care Agency
  • Drew, MS
National Provider Identifier
1124235494
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CAROL'S HOSPICE & PALLIATIVE SERVICES OF SHELBY, MISSISSIPPI, INC.
Practice address
163 N Main St
Drew, MS 38737-3406
Phone
(662) 745-6100
Fax
(662) 745-0503
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Mrs. Paula Lambert
Title
Ceo
Phone
(662) 588-0699

Specialties & licenses 1

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

Addresses

Primary practice location

163 N Main St
Drew, MS 38737-3406

Mailing address

163 N Main St
P.O. Box 23
Drew, MS 38737-3406
Phone (662) 745-6100

Other identifiers 1

IdentifierTypeStateIssuer
01389063MedicaidMS

Other names 1

  • Carol's Hospice, Inc. Other name

National Provider Directory

National Provider Directory

Locations

163 N Main St
Drew, MS 38737
Phone (662) 745-6100

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1124235494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 N MAIN ST",
            "address_2": "P.O. BOX 23",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387373406",
            "telephone_number": "662-745-6100",
            "fax_number": "662-745-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 N MAIN ST",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387373406",
            "telephone_number": "662-745-6100",
            "fax_number": "662-745-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL'S HOSPICE & PALLIATIVE SERVICES OF SHELBY, MISSISSIPPI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-588-0699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01389063",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol's Hospice, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Drew, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.