Active NPI
Heritage Hospice, Inc
- Community Based Hospice Care Agency
- Corinth, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 070
- Legal business name
- HERITAGE HOSPICE, INC
- Practice address
- 301 E Waldron St
Corinth, MS 38834-4756 - Phone
- (662) 286-5333
- Fax
- (662) 286-0052
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Ricky E Burgess, R.PH.
- Title
- Administrator
- Phone
- (662) 286-5333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 070 | MS | Primary |
Addresses
Primary practice location
301 E Waldron St
Corinth, MS 38834-4756
Mailing address
301 E Waldron St
Corinth, MS 38834-4756
Phone (662) 286-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770562 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Hospice Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Corinth, MS
- NPI 1962530832
Locations
301 E Waldron St
Corinth, MS 38834
Phone (662) 286-5333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Tulsa, OK
- NPI 1205308749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205845989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E WALDRON ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388344756",
"telephone_number": "662-286-5333",
"fax_number": "662-286-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WALDRON ST",
"city": "CORINTH",
"state": "MS",
"postal_code": "388344756",
"telephone_number": "662-286-5333",
"fax_number": "662-286-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "662-286-5333",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MS",
"license": "070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770562",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.