Community Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

184 Issued in MS

Legal business name

COMMUNITY HOSPICE, LLC

Doing business as

Halcyon Hospice - Hattiesburg

Practice address

22 Millbranch Rd Ste 100
Hattiesburg, MS 39402-1594

Phone

(601) 336-5832

Fax

(601) 255-5095

NPI assigned

Aug 27, 2009

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Gachassin

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Halcyon Hospice - Hattiesburg Doing business as

Member of 1

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

• Community Hospice, LLC

  dba Community Hospice

  • Community Based Hospice Care Agency
  • Tupelo, MS
  • NPI 1619933819

  Member Of

  NPD member

Locations

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.

• Charles R Brent, MD

  • Specialist
  • Hattiesburg, MS
  • NPI 1063513141
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1336372127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILLBRANCH RD STE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021594",
            "telephone_number": "601-336-5832",
            "fax_number": "601-255-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08436766",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halcyon Hospice - Hattiesburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halcyon Hospice - Hattiesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Astrid Compton, MD ON MAY 08

• Community Based Hospice Care Agency in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.