Hospice Providers, LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

067 Issued in MS

Legal business name

HOSPICE PROVIDERS, LLC

Doing business as

Hospice In His Hands

Practice address

242 Thaggard Rd
Carthage, MS 39051-9517

Phone

(601) 267-6830

Fax

(601) 267-6690

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By 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

Rebecca Shelton

Title

Member

Phone

(601) 956-8276

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice In His Hands Doing business as

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1518267442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 NORTHTOWN DR",
            "address_2": "SUITE 220",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113047",
            "telephone_number": "601-956-8276",
            "fax_number": "601-709-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 THAGGARD RD",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390519517",
            "telephone_number": "601-267-6830",
            "fax_number": "601-267-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-956-8276"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MS",
            "license": "067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0770517",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice In His Hands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Inpatient Hospice in Carthage, MS
• Providers in Carthage, MS by specialty
• Inpatient Hospice in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.