Active NPI
New Covenant Hospice II, LLC
- Community Based Hospice Care Agency
- Greenwood, MS
National Provider Identifier
1447668702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 201
- Legal business name
- NEW COVENANT HOSPICE II, LLC
- Practice address
- 105B Grand Blvd
Greenwood, MS 38930-3562 - Phone
- (662) 827-2765
- Fax
- (662) 827-5001
- NPI assigned
- Jul 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Henry Eifling
- Title
- Managing/Member
- Phone
- (662) 846-7600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 201 | MS | Primary |
Addresses
Primary practice location
105B Grand Blvd
Greenwood, MS 38930-3562
Mailing address
PO Box 276
Hollandale, MS 38748-0276
Phone (662) 827-2765
Other names 1
- Grace Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140918001505 | MS | Part A Provider - Hospice | 7517186893 | Practice locations: Greenwood, MS |
Hospice certification: CCN 251693
- Legal name
- NEW COVENANT HOSPICE II, LLC
- Doing business as
- GRACE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 30, 2014
- Last certification
- May 27, 2021
- Ownership / control type
- Other
- Organization structure
- LLC
- Enrollment address
- 200 E Market St
Greenwood, MS 38930-4423
Care Compare: Hospice
Medicare Care Compare- Listed as
- Grace Hospice
- Ownership
- For-Profit
- Certified
- Sep 30, 2014
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
510 Highway 51 S
Ste 4
Batesville, MS 38606
Phone (662) 563-2919
200 E Market St
Greenwood, MS 38930
Phone (662) 563-2919
105B Grand Blvd
Greenwood, MS 38930
Phone (662) 827-2765
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Haley Eifling | 5% Or Greater Direct Ownership Interest | Jul 17, 2014 | 50% |
| Limited Partnership Interest | Jul 17, 2014 | 50% | |
| W-2 Managing Employee | Jul 17, 2014 | 50% | |
| Justin Eifling | 5% Or Greater Direct Ownership Interest | Jul 17, 2014 | 50% |
| Limited Partnership Interest | Jul 17, 2014 | 50% | |
| W-2 Managing Employee | Jul 17, 2014 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1406678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1447668702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "HOLLANDALE",
"state": "MS",
"postal_code": "387480276",
"telephone_number": "662-827-2765",
"fax_number": "662-827-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105B GRAND BLVD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389303562",
"telephone_number": "662-827-2765",
"fax_number": "662-827-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW COVENANT HOSPICE II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-30",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "EIFLING",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "MANAGING/MEMBER",
"authorized_official_telephone_number": "662-846-7600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MS",
"license": "201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.