Spring Valley Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

178 Issued in MS

Legal business name

SPRING VALLEY HOSPICE, LLC

Practice address

7139 Commerce Dr Ste B3
Olive Branch, MS 38654-2101

Phone

(662) 890-5554

Fax

(662) 890-5746

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Kristi Kenslow

Title

Chief Operations Officer

Phone

(501) 558-4122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Hospice certification: CCN 251658

Legal name

SPRING VALLEY HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 5, 2010

Last certification

Feb 3, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Nov 21, 2007 in MS

Enrollment address

7139 Commerce Dr
Ste B3
Olive Branch, MS 38654-2101

Listed as

Spring Valley HospiceCCN 251658

Ownership

For-Profit

Certified

May 5, 2010

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 2

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

• Hospice Home Care, LLC

  • Community Based Hospice Care Agency
  • Monticello, AR
  • NPI 1114065018

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 3

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

• Fazal Yahya, M.D.

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1801153705

  Contracted Managing Employee

  CMS ownership
• Hospice Home Care, LLC

  • Community Based Hospice Care Agency
  • Monticello, AR
  • NPI 1114065018

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Hospice Home Care, LLC

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1306984364

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 151

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

• Amedisys Mississippi, LLC

  • Home Health Agency
  • Biloxi, MS
  • NPI 1093763773

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Amedisys Mississippi, LLC

  • Home Health Agency
  • Vicksburg, MS
  • NPI 1245288943

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Amedisys Mississippi, LLC

  • Home Health Agency
  • Collins, MS
  • NPI 1467400168

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Home Health Care Services II, Inc.

  • Community Based Hospice Care Agency
  • Cleveland, MS
  • NPI 1316923022

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Home Health Care Services II, Inc.

  • Home Health Agency
  • Cleveland, MS
  • NPI 1487639548

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Home Health Care Services, Inc.

  • Home Health Agency
  • Indianola, MS
  • NPI 1154304491

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Home Health Care Services, Inc.

  • Community Based Hospice Care Agency
  • Yazoo City, MS
  • NPI 1851377469

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Magnolia Hospice, LLC

  • Community Based Hospice Care Agency
  • Tupelo, MS
  • NPI 1790159358

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, Hospice Home Care, LLC, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc,

  CMS ownership
• Nine Palms 2 LLC

  • Home Health Agency
  • Gulfport, MS
  • NPI 1104871094

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Abilishealth Brownsville, LLC

  • Home Health Agency
  • Brownsville, TN
  • NPI 1639659675

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company

  CMS ownership
• Abilishealth Knoxville, LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1255811295

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Abilishealth Martin, LLC

  • Home Health Agency
  • Martin, TN
  • NPI 1093295040

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Marie Bailey, NP-C

  • Family Nurse Practitioner
  • Olive Branch, MS
  • NPI 1538725478

  Family Medicine

  NPD
• Tressa Ann Matthews

  • Family Nurse Practitioner
  • Canton, MS
  • NPI 1992269088

  Family Medicine

  NPD
• Rhagen Nelson

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
  • NPI 1033769245
  NPD
• Emily Tice

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1972070548
  NPD
• Bridgette Jone Torrance-Williams, DNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1366954232
  NPD
• Michelle Lee Bishop, DNP, ACNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Southaven, MS
  • NPI 1619722246
  NPD (past)
• Cecile Brown Davis, NP

  • Family Nurse Practitioner
  • Clinton, MS
  • NPI 1801567003
  NPD (past)
• Kelsey Marter Faulkner

  • Family Nurse Practitioner
  • Charleston, MS
  • NPI 1013489319
  NPD (past)
• Cody Elizabeth Field, FNP-C

  • Family Nurse Practitioner
  • Water Valley, MS
  • NPI 1013489756
  NPD (past)
• Dana Lien, NP

  • Nurse Practitioner
  • Grenada, MS
  • NPI 1285361253
  NPD (past)
• Dana Hall Siniard

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1841818010
  NPD (past)
• Amber Taylor, NP

  • Adult Health Nurse Practitioner
  • Brandon, MS
  • NPI 1699498774
  NPD (past)

Affiliated clinicians 1

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

• Fazal Yahya, M.D.

  • Internal Medicine Physician
  • Southaven, MS
  • NPI 1801153705

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1306086756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S BOWMAN RD STE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114136",
            "telephone_number": "501-558-4100",
            "fax_number": "501-558-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 COMMERCE DR STE B3",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542101",
            "telephone_number": "662-890-5554",
            "fax_number": "662-890-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "KENSLOW",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "501-558-4122"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick L Spears
• Specialty Care Extended Hours Clinic LLC
• Specialty Hospice,LLC
• Kristin Cox Spence, APN, FNP
• Spirit Care Services Inc
• Springwood Health & Supportive Living Services
• Starlight Medical Supply, LLC
• Patricia Lee Steele, PHARMACIST
• Stephanie Harding, DDS of Mississippi II, PLLC
• Vernita Arnett Stephens

• All providers in Olive Branch, MS
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.