A & E Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009 Issued in MS

Legal business name

A & E HOSPICE INC

Practice address

6810 Crumpler Blvd
Olive Branch, MS 38654-1933

Phone

(256) 764-6633

Fax

(256) 764-7873

NPI assigned

May 15, 2006

Last updated

Mar 31, 2008By 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

Mr. Charles A Eddins

Title

Owner

Phone

(256) 764-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Kare-in-Home Hospice of Northwest Mississippi, LLC

  dba VitalCaring Group

  • Community Based Hospice Care Agency
  • Batesville, MS
  • NPI 1952847402

  Sold to, 2016-12-12

  CMS change of ownership

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1427009067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356311332",
            "telephone_number": "256-764-6633",
            "fax_number": "256-764-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 CRUMPLER BLVD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541933",
            "telephone_number": "256-764-6633",
            "fax_number": "256-764-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & E HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-764-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770335",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Plus Therapy Group
• Melissa Kay Aberle Guy, BA
• Glenn Allen Adair, R.P.H.
• Akilah Adams, RRT
• Christi Adams, PHARM D.

• Community Based Hospice Care Agency in Olive Branch, MS
• Providers in Olive Branch, 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 Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.