Organization Active NPI

Hospice Advantage, LLC.

  • Community Based Hospice Care Agency
  • Tupelo, MS
National Provider Identifier
1669753356
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
071 Issued in MS
Legal business name
HOSPICE ADVANTAGE, LLC.
Practice address
280 S Thomas St
Suite 101
Tupelo, MS 38801-4302
Phone
(662) 840-3434
Fax
(662) 680-4592
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Kayanne Mynsberge
Title
Coo
Phone
(989) 891-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 071 MS Primary

Addresses

Primary practice location

280 S Thomas St
Suite 101
Tupelo, MS 38801-4302

Mailing address

401 Center Ave
Bay City, MI 48708-5939
Phone (989) 891-2206

Other names 1

  • Hospice Advantage, Inc. Former legal business name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1669753356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085939",
            "telephone_number": "989-891-2206",
            "fax_number": "989-893-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S THOMAS ST",
            "address_2": "SUITE 101",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014302",
            "telephone_number": "662-840-3434",
            "fax_number": "662-680-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "MYNSBERGE",
        "authorized_official_first_name": "KAYANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-891-2210"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Advantage, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.