Organization Active NPI

Specialty Hospice,LLC

Doing business as ACG Hospice

  • Community Based Hospice Care Agency
  • Olive Branch, MS
National Provider Identifier
1609183292
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SPECIALTY HOSPICE,LLC
Doing business as
ACG Hospice
Practice address
5924 Pleasant Hill Rd
Olive Branch, MS 38654-5403
Phone
(601) 420-7157
Fax
(601) 420-7147
NPI assigned
Sep 3, 2010
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Pamela Duncan Owens
Title
Cco
Phone
(800) 932-2738

Specialties & licenses 1

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

Addresses

Primary practice location

5924 Pleasant Hill Rd
Olive Branch, MS 38654-5403

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other names 1

  • ACG Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101101000055 MS Part A Provider - Hospice 3375737646 Practice locations: Olive Branch, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609183292. Details of each certification follow.

Hospice certification: CCN 251669

Legal name
SPECIALTY HOSPICE,LLC
Doing business as
SPECIALTY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 3, 2011
Last certification
Mar 12, 2020
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Mar 1, 2010 in MS
Enrollment address
5924 Pleasant Hill Rd
Olive Branch, MS 38654-5403

Care Compare: Hospice

Medicare Care Compare
Listed as
Acg Hospice-Olive BranchCCN 251669 · All quality measures
Ownership
Government
Certified
Feb 3, 2011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2014169Specialty Hospice5924 Pleasant Hill Rd, Olive Branch, MS 38654Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory

Locations

5600 Goodman Rd
Ste D
Olive Branch, MS 38654
Phone (662) 893-4020

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Adrian McKay Individual 5% Or Greater Direct Ownership Interest Jun 1, 2010 5%
Corporate Officer Jun 1, 2010 10%
Corporate Director Jun 1, 2010 85%
W-2 Managing Employee Jul 7, 2020 5%
Operational/Managerial Control Mar 9, 2010 5%
James Jackson Individual 5% Or Greater Direct Ownership Interest Sep 3, 2010
Corporate Officer Mar 9, 2010 5%
Shawonda McKay Individual 5% Or Greater Direct Ownership Interest Mar 9, 2010 90%
Corporate Officer Mar 9, 2010 90%
Corporate Director Mar 9, 2010 90%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1609183292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738",
            "fax_number": "888-847-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 PLEASANT HILL RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545403",
            "telephone_number": "601-420-7157",
            "fax_number": "601-420-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HOSPICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-932-2738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACG Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.