Active NPI
Carol'S Hospice & Palliative Services of Shelby, Mississippi, Inc.
- Community Based Hospice Care Agency
- Drew, MS
National Provider Identifier
1124235494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01389063 | Medicaid | MS |
Other names 1
- Carol's Hospice, Inc.
National Provider Directory
National Provider DirectoryLocations
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.