NPIMap

Organization Active NPI

St Joseph Hospice of Southern Mississippi, LLC

  • Community Based Hospice Care Agency
  • Hattiesburg, MS
National Provider Identifier
1356625008
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
APPLIED Issued in MS
Legal business name
ST JOSEPH HOSPICE OF SOUTHERN MISSISSIPPI, LLC
Practice address
32 Millbranch Rd Ste 30
Hattiesburg, MS 39402-1673
Phone
(601) 261-2515
Fax
(601) 261-2788
NPI assigned
Sep 29, 2011
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Patrick T Mitchell
Title
Managing Member
Phone
(225) 769-2449

Specialties & licenses 1

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

Addresses

Primary practice location

32 Millbranch Rd Ste 30
Hattiesburg, MS 39402-1673

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 769-2449

Other practice location 1

1240 Broad Ave
Gulfport, MS 39501-2416
Phone (228) 865-7897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000045 MS Part A Provider - Hospice 8426221243 Practice locations: Gulfport, MS; Hattiesburg, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356625008. Details of each certification follow.

Hospice certification: CCN 251670

Legal name
ST. JOSEPH HOSPICE OF SOUTHERN MISSISSIPPI, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 9, 2011
Last certification
Mar 9, 2011
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
32 Millbranch Rd
Ste 30
Hattiesburg, MS 39402-1673

Care Compare: Hospice

Medicare Care Compare
Listed as
St Joseph Hospice of Southern Mississippi, LLCCCN 251670 · All quality measures
Ownership
For-Profit
Certified
Mar 9, 2011
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
25D1087818St Joseph Hospice of Southern Mississippi32 Millbranch Rd Ste 30, Hattiesburg, MS 39402Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

105 Asbury Cir
Ste C1
Hattiesburg, MS 39402
Phone (601) 261-2515

32 Millbranch Rd
Ste 30
Hattiesburg, MS 39402
Phone (601) 261-2515

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Patrick Thomas Mitchell Individual Corporate OfficerPresident, Ceo/MGR Member LLC Feb 22, 2011 90%
Operational/Managerial ControlPresident, Ceo/MGR Member LLC Feb 22, 2011 90%
PCM Hospice Enterprises LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest May 1, 2019 98%
Kelly Mitchell Individual Other Dec 31, 2022 25.9%
Eleanor Holleman Individual Other May 1, 2019 9.7%
Bertin C Chevis Individual Operational/Managerial ControlMedical Director Apr 13, 2012
Catherine Ross Mitchell Individual Other Dec 31, 2022
John Holleman Individual Other May 1, 2019 9.7%
PTM 2018 Family Trust Organization, Baton Rouge, LA Created for acquisition 5% Or Greater Indirect Ownership Interest Dec 31, 2022 97.02%
Emily Holleman Individual Other Dec 31, 2022 25.9%
Mark S Crowson Individual 5% Or Greater Direct Ownership Interest Oct 1, 2017 2%
Operational/Managerial ControlAdministrator Jul 9, 2021
Wilton Holleman Individual Other May 1, 2019

Owners & managing parties with NPI records 1

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

Facilities with the same owner 33

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

View all 33

Practitioners & affiliated clinicians

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.

Affiliated clinicians 2

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1356625008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-769-2449",
            "fax_number": "225-757-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MILLBRANCH RD STE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021673",
            "telephone_number": "601-261-2515",
            "fax_number": "601-261-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Broad Ave",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012416",
            "country_code": "US",
            "telephone_number": "228-865-7897",
            "fax_number": "228-865-7251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST JOSEPH HOSPICE OF SOUTHERN MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-769-2449"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "APPLIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.