Organization Active NPI

Delta Area Hospice Care Limited

  • Community Based Hospice Care Agency
  • Greenville, MS
National Provider Identifier
1598853509
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
012 Issued in MS
Legal business name
DELTA AREA HOSPICE CARE LIMITED
Practice address
522 Arnold Ave
Greenville, MS 38701-5319
Phone
(662) 335-7040
Fax
(662) 335-7027
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Mr. Harold B. Blakely
Title
President
Phone
(662) 335-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 012 MS Primary

Addresses

Primary practice location

522 Arnold Ave
Greenville, MS 38701-5319

Mailing address

PO Box 5915
Greenville, MS 38704-5915
Phone (662) 335-7040

Other identifiers 2

IdentifierTypeStateIssuer
00770012MedicaidMS
251514OtherMSMEDICARE HOSPICE

National Provider Directory

National Provider Directory

Locations

522 Arnold Ave
Greenville, MS 38701
Phone (662) 335-7040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1598853509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5915",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045915",
            "telephone_number": "662-335-7040",
            "fax_number": "662-335-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015319",
            "telephone_number": "662-335-7040",
            "fax_number": "662-335-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA AREA HOSPICE CARE LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-335-7040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770012",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HOSPICE",
            "identifier": "251514",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.