Jacarolyn Hospice & Palliative SVC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JACAROLYN HOSPICE & PALLIATIVE SVC

Practice address

715 Murphy St
Cleveland, MS 38732-3921

Phone

(662) 588-4026

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Miss Roberta Allen

Title

Adminstrator

Phone

(662) 588-4026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1134564529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MURPHY STREET",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387320715",
            "telephone_number": "662-588-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MURPHY ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323921",
            "telephone_number": "662-588-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACAROLYN HOSPICE & PALLIATIVE SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "662-588-4026",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Cleveland, MS
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• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.