Active NPI
Heart to Heart Hospice of Booneville LLC
- Community Based Hospice Care Agency
- Booneville, MS
National Provider Identifier
1144419243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEART TO HEART HOSPICE OF BOONEVILLE LLC
- Practice address
- 210 S Second St
Booneville, MS 38829-3227 - Phone
- (662) 720-0356
- NPI assigned
- Oct 15, 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
- Ms. Tawanna G Martin, RN
- Title
- President/Member
- Phone
- (662) 323-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
210 S Second St
Booneville, MS 38829-3227
Mailing address
402 Briarwick
Starkville, MS 39759-4106
National Provider Directory
National Provider DirectoryLocations
210 S Second St
Booneville, MS 38829
Phone (662) 720-0356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1144419243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 BRIARWICK",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397594106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S SECOND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293227",
"telephone_number": "662-720-0356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART HOSPICE OF BOONEVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "TAWANNA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT/MEMBER",
"authorized_official_telephone_number": "662-323-8844",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.