Organization Active NPI

Arden of Northeast Mississippi, LLC

Doing business as Arden Hospice of Tupelo

  • Community Based Hospice Care Agency
  • Tupelo, MS
National Provider Identifier
1184411654
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARDEN OF NORTHEAST MISSISSIPPI, LLC
Doing business as
Arden Hospice of Tupelo
Practice address
1022 Commonwealth Blvd
Tupelo, MS 38804-9300
Phone
(662) 269-8959
Fax
(662) 269-8969
NPI assigned
Apr 21, 2025
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Wilford A Payne III
Title
President/Ceo
Phone
(601) 582-6031

Specialties & licenses 1

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

Addresses

Primary practice location

1022 Commonwealth Blvd
Tupelo, MS 38804-9300

Mailing address

133 Mayfair Rd
Hattiesburg, MS 39402-1464
Phone (601) 582-6031

Other names 1

  • Arden Hospice of Tupelo Doing business as

National Provider Directory

National Provider Directory

Locations

133 Mayfair Rd
Hattiesburg, MS 39402
Phone (601) 268-0408

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1184411654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MAYFAIR RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021464",
            "telephone_number": "601-582-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 COMMONWEALTH BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049300",
            "telephone_number": "662-269-8959",
            "fax_number": "662-269-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN OF NORTHEAST MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "WILFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "601-582-6031",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arden Hospice of Tupelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.