Organization Active NPI

Hospice Direct, Inc.

  • Community Based Hospice Care Agency
  • Union, MS
National Provider Identifier
1770610230
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
073 Issued in MS
Legal business name
HOSPICE DIRECT, INC.
Practice address
325 North St
Union, MS 39365-3002
Phone
(601) 774-2727
Fax
(601) 774-2728
NPI assigned
Feb 28, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Linda S Knight, R.N., M.S.N.
Title
Ceo,Cfo
Phone
(601) 774-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 073 MS Primary

Addresses

Primary practice location

325 North St
Union, MS 39365-3002

Mailing address

325 North St
Union, MS 39365-3002
Phone (601) 774-2727

Other identifiers 3

IdentifierTypeStateIssuer
03657336MedicaidMS
04421571MedicaidMS
00770552MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1770610230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NORTH ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393653002",
            "telephone_number": "601-774-2727",
            "fax_number": "601-774-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NORTH ST",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393653002",
            "telephone_number": "601-774-2727",
            "fax_number": "601-774-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE DIRECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO,CFO",
        "authorized_official_telephone_number": "601-774-2727",
        "authorized_official_credential": "R.N., M.S.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03657336",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04421571",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770552",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.