Organization Active NPI

North Delta Hospice of Arkansas, LLC

  • Community Based Hospice Care Agency
  • Piggott, AR
National Provider Identifier
1356664353
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
137 Issued in MS
Legal business name
NORTH DELTA HOSPICE OF ARKANSAS, LLC
Practice address
154 E Main St Ste a
Piggott, AR 72454-2723
Phone
(662) 393-0170
Fax
(662) 393-0171
NPI assigned
Mar 4, 2010
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Raymond E Vallier
Title
Administrator/Ceo
Phone
(662) 393-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 137 MS Primary

Addresses

Primary practice location

154 E Main St Ste a
Piggott, AR 72454-2723

Mailing address

123 Stateline Rd E
Southaven, MS 38671-1710
Phone (662) 393-0170

National Provider Directory

National Provider Directory

Locations

154 E Main St
#A
Piggott, AR 72454
Phone (662) 393-0170

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1356664353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 STATELINE RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711710",
            "telephone_number": "662-393-0170",
            "fax_number": "662-393-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 E MAIN ST STE A",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542723",
            "telephone_number": "662-393-0170",
            "fax_number": "662-393-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DELTA HOSPICE OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "VALLIER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "662-393-0170"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piggott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.