Active NPI
Baptist Memorial Home Care Inc
- Community Based Hospice Care Agency
- Batesville, MS
National Provider Identifier
1679627368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 004
- Legal business name
- BAPTIST MEMORIAL HOME CARE INC
- Practice address
- 126 Highway 51 N
Batesville, MS 38606-2347 - Phone
- (662) 578-8402
- NPI assigned
- Jan 22, 2007
- Last updated
- Oct 5, 2020
- Organization subpart
- Yes
- Parent organization
- BAPTIST MEMORIAL HEALTH CARE CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory M Duckett
- Title
- Sr VP/ Clo
- Phone
- (901) 227-5233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 004 | MS | Primary |
Addresses
Primary practice location
126 Highway 51 N
Batesville, MS 38606-2347
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (662) 578-8402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770242 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Baptist Memorial Health Care Corp
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 1, 2017 | Change of Ownership | Baptist Home Care & Hospice - North Mississippi |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Baptist Home Care & Hospice - North Mississippi
- Community Based Hospice Care Agency
- Batesville, MS
- NPI 1932635141
Sold to, 2017-06-01
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1649615964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601856000000",
"number": "1679627368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202177",
"telephone_number": "662-578-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 HIGHWAY 51 N",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386062347",
"telephone_number": "662-578-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST MEMORIAL HOME CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
"enumeration_date": "2007-01-22",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A",
"authorized_official_last_name": "DUCKETT",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR VP/ CLO",
"authorized_official_telephone_number": "901-227-5233"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MS",
"license": "004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770242",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, MS
- Christy Isbell Austin, PT
- Britni Barnett Avant, RMT
- Jodi G Bailey
- David Alford Ball, M.D.
- Baptist Memorial Home Care Inc
- Baptist Memorial Hospital North Mississippi, Inc (BMH North MS)
- Baptist Memorial Hospital North Mississippi, Inc (Baptist Memorial Hospital North MS)
- Gwenette Barron, LCSW
- Batesville Clinic, P.a.
- Batesville Dental Clinic (Lea Andy Garrott, DMD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.