Beverly Hospice Ministries Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

056 Issued in MS

Legal business name

BEVERLY HOSPICE MINISTRIES INC

Doing business as

Hospice Care at Home

Practice address

6531 Dogwood View Pkwy
Suite a
Jackson, MS 39213-7827

Phone

(601) 713-0061

Fax

(601) 713-4247

NPI assigned

Jun 7, 2006

Last updated

Aug 22, 2020By 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

Ms. Beverly Farabee, RN, BSN

Title

Executive Director

Phone

(601) 713-0061

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice Care at Home Doing business as

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629018106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9303",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392869303",
            "telephone_number": "601-713-0061",
            "fax_number": "601-713-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6531 DOGWOOD VIEW PKWY",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137827",
            "telephone_number": "601-713-0061",
            "fax_number": "601-713-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HOSPICE MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARABEE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-713-0061",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770334",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Care at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Jackson, MS
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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.