NPIMap

Organization Active NPI

Camellia Hospice of Northeast Mississippi, LLC

Doing business as Enhabit Hospice of Northeast Mississippi

  • Community Based Hospice Care Agency
  • Tupelo, MS
National Provider Identifier
1265710404
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CAMELLIA HOSPICE OF NORTHEAST MISSISSIPPI, LLC
Doing business as
Enhabit Hospice of Northeast Mississippi
Practice address
499 Gloster Creek VLG Ste I-7
Tupelo, MS 38801
Phone
(662) 844-2870
Fax
(662) 844-2871
NPI assigned
Jul 21, 2011
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

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

Addresses

Primary practice location

499 Gloster Creek VLG Ste I-7
Tupelo, MS 38801

Mailing address

6688 N Central Expy Ste 13
Dallas, TX 75206-3914
Phone (214) 239-6500

Other identifiers 1

IdentifierTypeStateIssuer
0177575MedicaidMS

Other names 1

  • Enhabit Hospice of Northeast Mississippi Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.MS.TPH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111231000003 MS Part A Provider - Hospice 8224204862 Practice locations: Columbus, MS; Tupelo, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265710404. Details of each certification follow.

Hospice certification: CCN 251618

Legal name
CAMELLIA HOSPICE OF NORTHEAST MISSISSIPPI, LLC
Doing business as
ENHABIT HOSPICE NORTHEAST MISSISSIPPI
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 9, 2005
Last certification
Jul 1, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
499 Gloster Creek VLG
Ste I7
Tupelo, MS 38801-4709

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit Hospice of Northeast MississippiCCN 251618 · All quality measures
Ownership
For-Profit
Certified
Nov 9, 2005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2041251Enhabit Hospice of Northeast Mississippi499 Gloster Creek Village Ste I-7, Tupelo, MS 38801Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2305 Bluecutt Rd
#C
Columbus, MS 39705
Phone (662) 854-0020

2309 Bluecutt Rd
Columbus, MS 39705

2309 Bluecutt Rd
Ste C
Columbus, MS 39705
Phone (662) 854-0020

1413 W Main St
Ste B
Tupelo, MS 38801
Phone (662) 205-4517

499 Gloster Creek Vlg
Ste 17
Tupelo, MS 38801

499 Gloster Creek Vlg
Ste I7
Tupelo, MS 38801
Phone (662) 844-2870

6688 N Central Expy
Ste 13
Dallas, TX 75206

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.ms.tph@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Deerfield Management Company LP Organization, New York, NY Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2024 7.8%
Clinton L Washington Individual Contracted Managing EmployeeMD; Jun 17, 2022
Barbara a Jacobsmeyer Individual Corporate OfficerPresidentchief Executive Officer Jun 21, 2021
Operational/Managerial ControlPresident & Ceo; Chain Home Offi Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 2, 2023
Julie D Jolley Individual Corporate OfficerEvp of Home Health Operations Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2024 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Tanya Prentice Individual W-2 Managing EmployeeAdministrator Dec 3, 2021
Advanced Homecare Management LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel and Secretary Feb 22, 2023
Eh Home Health of the Southeast, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2018 100%
Jeanne L Kalvaitis Individual Corporate OfficerExecutive Vice President of Hosp Jul 1, 2022
Ryan T Solomon Individual Corporate OfficerChief Financial Officer & Author Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1265710404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 13",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063914",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE I-7",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-844-2870",
            "fax_number": "662-844-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA HOSPICE OF NORTHEAST MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177575",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.MS.TPH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "499 Gloster Creek Vlg Ste I-7",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "38801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice of Northeast Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.