Physician Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PHYSICIAN HOSPICE CARE LLC

Practice address

256 Dogwood Blvd
Flowood, MS 39232-8602

Phone

(601) 906-1011

Fax

(601) 992-8138

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joe Cotten, MBA

Title

Chief Fiscal Officer

Phone

(601) 906-1011

Specialties & licenses 1

Addresses

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.

• Alliance Healthcare Hospice

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Holly Springs, MS
  • NPI 1992224885

  Sold to, 2017-08-31

  CMS change of ownership

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487716528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391300173",
            "telephone_number": "601-906-1011",
            "fax_number": "601-992-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 DOGWOOD BLVD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328602",
            "telephone_number": "601-906-1011",
            "fax_number": "601-992-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTTEN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "601-906-1011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmakeus Inc
• Francis M Phillippi IV, MD
• Danielle Phillips, FNP
• Edward K. Phillips, M.D.
• Nicholas Phillips
• Physiolete Therapy and Performance LLC
• Piece of Mind Medical LLC
• Alana Piersanti, MD
• Dale Durden Pillow, PT
• Erik Pinter, PT

• Community Based Hospice Care Agency in Flowood, MS
• Providers in Flowood, 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 Aug 22, 2020; 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.