Southern Hospitality Hospice & Palliative Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTHERN HOSPITALITY HOSPICE & PALLIATIVE CARE, LLC

Practice address

321 S Sharpe Ave
Suite B
Cleveland, MS 38732-3353

Phone

(313) 850-4668

Fax

(662) 843-9100

NPI assigned

Dec 28, 2012

Last updated

Dec 28, 2012By 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

Dr. A. Delane Borders, D.O.

Title

Ceo

Phone

(313) 850-4668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1427394162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 157",
            "address_2": "103 SOUTH BLAKE AVE.",
            "city": "WINSTONVILLE",
            "state": "MS",
            "postal_code": "387810157",
            "telephone_number": "313-850-4668",
            "fax_number": "662-843-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S SHARPE AVE",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323353",
            "telephone_number": "313-850-4668",
            "fax_number": "662-843-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOSPITALITY HOSPICE & PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-850-4668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.