Walk of Faith Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

MS25WOF Issued in MS

Legal business name

WALK OF FAITH HOSPICE CARE LLC

Practice address

543 Highway 80 W
Suite B
Clinton, MS 39056-4193

Phone

(601) 488-4580

Fax

(601) 488-4580

NPI assigned

Jul 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Chrishola Latray Ford

Title

Adm.

Phone

(601) 488-4580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1336581982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 SUITE B HWY 80 WEST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390560543",
            "telephone_number": "601-488-4580",
            "fax_number": "601-488-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 HIGHWAY 80 W",
            "address_2": "SUITE B",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564193",
            "telephone_number": "601-488-4580",
            "fax_number": "601-488-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK OF FAITH HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISHOLA",
        "authorized_official_middle_name": "LATRAY",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "601-488-4580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "MS25WOF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Clinton, MS
• Providers in Clinton, 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 Jan 14, 2014; 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.