Trinity Hospice of Mississippi, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

035 Issued in MS

Legal business name

TRINITY HOSPICE OF MISSISSIPPI, LLC

Practice address

201 Methodist Blvd
Hattiesburg, MS 39402-1297

Phone

(228) 875-3527

Fax

(214) 432-9220

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Amy Marie Glasscock

Title

Billing Manager

Phone

(214) 306-4520

Specialties & licenses 1

Addresses

Other names 1

• Trinity Hospice Other name

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1720039092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14180 DALLAS PKWY",
            "address_2": "SUITE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752544341",
            "telephone_number": "214-306-4520",
            "fax_number": "972-386-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 METHODIST BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021297",
            "telephone_number": "228-875-3527",
            "fax_number": "214-432-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOSPICE OF MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "GLASSCOCK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-306-4520"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community Based Hospice Care Agency in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.