NPIMap

Organization Active NPI

Hospice Care of Mississippi, LLC

Doing business as Enhabit Hospice

  • Community Based Hospice Care Agency
  • Hattiesburg, MS
National Provider Identifier
1811900467
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
089 Issued in MS
Legal business name
HOSPICE CARE OF MISSISSIPPI, LLC
Doing business as
Enhabit Hospice
Practice address
135 Mayfair Rd Ste C
Hattiesburg, MS 39402-1464
Phone
(601) 264-8691
Fax
(601) 264-8692
NPI assigned
Aug 14, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 089 MS Primary

Addresses

Primary practice location

135 Mayfair Rd Ste C
Hattiesburg, MS 39402-1464

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other identifiers 1

IdentifierTypeStateIssuer
05275061MedicaidMS

Other names 1

  • Enhabit Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.MS.HBH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031003000028 MS Part A Provider - Hospice 5799697728 Practice locations: Columbia, MS; Hattiesburg, MS; Picayune, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811900467. Details of each certification follow.

Hospice certification: CCN 251585

Legal name
HOSPICE CARE OF MISSISSIPPI, LLC
Doing business as
ENHABIT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 22, 2004
Last certification
Jun 24, 2021
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
135 Mayfair Rd
Ste C
Hattiesburg, MS 39402-1464

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit HospiceCCN 251585 · All quality measures
Ownership
For-Profit
Certified
Jan 22, 2004
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
25D1017237Hospice Care of Mississippi Llcdba Enhabit Hospice135 Mayfair Rd Ste C, Hattiesburg, MS 39402Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1445 Highway 98 E
Columbia, MS 39429
Phone (601) 731-1707

135 Mayfair Rd
Ste C
Hattiesburg, MS 39402
Phone (601) 264-8691

124 Summer St
Ste A
Lucedale, MS 39452
Phone (601) 947-6645

802 Delaware Ave
McComb, MS 39648
Phone (601) 684-5033

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.ms.hbh@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Walter Gipson Individual Contracted Managing EmployeeMD; May 1, 2018
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Blackrock Inc Organization, New York, NY Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2023 7.8%
Collin S McQuiddy Individual Corporate OfficerChief Accounting Officer Aug 5, 2024
Barbara a Jacobsmeyer Individual Corporate OfficerPresident &Ceo Jun 21, 2021
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 22, 2023
Julie D Jolley Individual Corporate OfficerEx VP Home Health Operations/ Ao Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2018 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2018 100%
Dylan C Black Individual Corporate OfficerGeneral Counsel & Secretary/Auth Feb 22, 2023
Eh Home Health of the Southeast, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2018 100%
Jeanne L Kalvaitis Individual Corporate OfficerEx VP of Hospice Operations Jul 1, 2022
Jobie G Williams Individual Corporate OfficerSVP Strategic Finance/Treasurer Feb 22, 2023
Ryan T Solomon Individual Corporate OfficerChief Financial Officer/Authoriz Dec 9, 2024
Angela Michelle Meeks Individual W-2 Managing EmployeeAd; Jul 24, 2023
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Owners & managing parties with NPI records 9

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

Facilities with the same owner 196

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

View all 196

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1811900467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAYFAIR RD STE C",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021464",
            "telephone_number": "601-264-8691",
            "fax_number": "601-264-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OF MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05275061",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.MS.HBH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "135 Mayfair Rd Ste C",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394021464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.