Cornerstone Palliative and Hospice, LLC
Organization Active NPI Community Based Hospice Care Agency · Jackson, MS
NPI 1326397241 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1326397241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 208 (MS)
- Legal business name
- CORNERSTONE PALLIATIVE AND HOSPICE, LLC
- Practice address
- 1200 N State St Ste 480
Jackson, MS 39202-2080 - Phone
- (601) 993-0053
- Fax
- (601) 993-0463
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Nicholas Gachassin
- Title
- Executive Vice President
- Phone
- (337) 233-1307
Owners & managing parties with NPI records 4
Member of 1
Facilities with the same owner 14
Affiliated clinicians 2
-
Bharat Malhotra, MD
-
Charvi Patel, MD
Medicare Care Compare: Hospice
- Listed as
- Baptist Hospice
- Ownership
- For-Profit
- Certified
- Sep 26, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2041517 | Cornerstone Palliative and Hospice LLC Dba Baptist | Certificate of waiver | May 22, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospice certification: CCN 251676
- Legal name
- CORNERSTONE PALLIATIVE AND HOSPICE, LLC
- Doing business as
- BAPTIST HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 26, 2012
- Last certification
- Apr 22, 2021
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 26, 2012 in MS
- Enrollment address
- 732 E Fifteenth St
Yazoo City, MS 39194-2706
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Unitedhealth Group Incorporated |
5% Or Greater Indirect Ownership Interest | Feb 22, 2023 | 67% |
| Marcus Donavon Macip |
Corporate Officer |
Feb 22, 2023 | |
| Halcyon Healthcare LLC |
5% Or Greater Direct Ownership Interest | Oct 1, 2015 | 67% |
| Operational/Managerial Control | Oct 17, 2014 | 100% | |
| Kimberly Seymour |
Corporate Officer |
Feb 22, 2023 | |
| Kelli Vandevere |
W-2 Managing Employee |
Sep 28, 2016 | |
| Operational/Managerial Control |
Sep 28, 2016 | ||
| Georgia Health Care Group LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 67% |
| LHC Group Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2015 | 67% |
| Operational/Managerial Control | Oct 1, 2015 | ||
| Joshua Lee Proffitt |
Corporate Officer |
Oct 1, 2015 | |
| Mississippi Baptist Medical Center, Inc |
5% Or Greater Indirect Ownership Interest | Jun 1, 2017 | 33% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120920000578 | MS | Part a Provider - Hospice | 8123276839 | Practice locations: Jackson, MS; Yazoo City, MS |
National Provider Directory
Locations
604 Highway 80 W
Ste N
Clinton, MS 39056
Phone (601) 201-5593
306 E Jefferson St
Yazoo City, MS 39194
Phone (662) 746-5153
125 S Main St
Yazoo City, MS 39194
Phone (662) 746-5153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 208 | MS | Yes |
Addresses
Primary practice location
1200 N State St Ste 480
Jackson, MS 39202-2080
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00450571 | Medicaid | MS |
Other names
- Baptist Hospice
- Halcyon Hospice - Yazoo City
Other providers in Jackson, MS
- Latanya Cork
- John Jarrett Corley
- Mary Kinney Lowe Corley
- Z'Carra Jermyce Corner
- Cornerstone Caregiving East LLC
- Rona Correll
- Corthys LLC
- Corthys LLC
- Corthys LLC
- Corthys LLC
All providers in Jackson, MS · Community Based Hospice Care Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.