NPIMap

Organization Active NPI

St. Joseph Hospice of West Mississippi, LLC

  • Community Based Hospice Care Agency
  • Richland, MS
National Provider Identifier
1710980222
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
083 Issued in MS
Legal business name
ST. JOSEPH HOSPICE OF WEST MISSISSIPPI, LLC
Practice address
120 Scarbrough St Ste C
Richland, MS 39218-9798
Phone
(601) 925-0418
Fax
(601) 924-9975
NPI assigned
May 30, 2005
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Patrick Mitchell
Title
Ceo
Phone
(225) 368-3181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 083 MS Primary

Addresses

Primary practice location

120 Scarbrough St Ste C
Richland, MS 39218-9798

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 368-3181

Other practice location 1

2080 S Frontage Rd Ste 102
Vicksburg, MS 39180-5882
Phone (601) 638-8308

Other identifiers 2

IdentifierTypeStateIssuer
02004727MedicaidMS
100004613MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000138 MS Part A Provider - Hospice 9133372659 Practice locations: Vicksburg, MS; Richland, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710980222. Details of each certification follow.

Hospice certification: CCN 251575

Legal name
ST JOSEPH HOSPICE OF WEST MISSISSIPPI LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 21, 2003
Last certification
Jan 9, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
120 Scarbrough St
Ste C
Richland, MS 39218-9798

Care Compare: Hospice

Medicare Care Compare
Listed as
St Joseph Hospice of West Mississippi, LLCCCN 251575 · All quality measures
Ownership
For-Profit
Certified
Mar 21, 2003
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
25D2219334St Joseph Hospice of West Mississippi LLC120 Scarbrough St Ste C, Richland, MS 39218Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

322 Highway 80 E
Clinton, MS 39056
Phone (601) 894-3014

322 Highway 80 E
Ste 3
Clinton, MS 39056
Phone (601) 460-0910

244 Caldwell Dr
Hazlehurst, MS 39083
Phone (601) 894-3014

120 Scarbrough St
Ste C
Richland, MS 39218
Phone (601) 925-0418

2080 S Frontage Rd
Ste 102
Vicksburg, MS 39180
Phone (601) 638-8308

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
John R Barnes Individual Contracted Managing EmployeeMD; Apr 22, 2016
Jonathan D. Lee Individual Contracted Managing EmployeeMD; May 23, 2023
Patrick Thomas Mitchell Individual Operational/Managerial ControlManager Nov 16, 2012
Other May 1, 2019 1%
PCM Hospice Enterprises LLC Organization, Baton Rouge, LA LLC 5% Or Greater Direct Ownership Interest Jul 18, 2025 99.66%
Kelly Mitchell Individual Other Dec 31, 2022
PCM Intermediate Holdings LLC Organization, Baton Rouge, LA LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 99.66%
Christopher Wilson Hughes Individual W-2 Managing EmployeeAd; Mar 20, 2023
PTM 2018 Family Trust Organization, Baton Rouge, LA 5% Or Greater Indirect Ownership Interest Jul 18, 2025 98.66%
Emily Holleman Individual Other Dec 31, 2022
PCM Holdings I, Inc. Organization, Baton Rouge, LA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 99.66%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1710980222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-368-3181",
            "fax_number": "225-757-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SCARBROUGH ST STE C",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189798",
            "telephone_number": "601-925-0418",
            "fax_number": "601-924-9975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 S Frontage Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805882",
            "country_code": "US",
            "telephone_number": "601-638-8308",
            "fax_number": "601-638-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPICE OF WEST MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-368-3181"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02004727",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004613",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MS

Sources for this page

Verify at the official NPI Registry.