Active NPI
Baptist Memorial Home Care Inc
Doing business as Baptist Hospice-Golden Triangle
- Inpatient Hospice
- Columbus, MS
National Provider Identifier
1821312364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- License
- 003
- Legal business name
- BAPTIST MEMORIAL HOME CARE INC
- Doing business as
- Baptist Hospice-Golden Triangle
- Practice address
- 2623 5TH St N
Columbus, MS 39705-2009 - Phone
- (662) 243-1173
- NPI assigned
- Mar 25, 2010
- 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 |
|---|---|---|---|---|
| Inpatient Hospice | 315D00000X | 003 | MS | Primary |
Addresses
Primary practice location
2623 5TH St N
Columbus, MS 39705-2009
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (662) 243-1173
Other names 1
- Baptist Hospice-Golden Triangle
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 Hospice - Golden Triangle |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Baptist Hospice - Golden Triangle
- Community Based Hospice Care Agency
- Columbus, MS
- NPI 1508393646
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": "1269475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601856000000",
"number": "1821312364",
"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": "662-243-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052009",
"telephone_number": "662-243-1173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST MEMORIAL HOME CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
"enumeration_date": "2010-03-25",
"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": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "MS",
"license": "003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Hospice-Golden Triangle",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baptist Hospice-Golden Triangle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, MS
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Health Services, Inc. of Mississippi
- Baptist Memorial Hospital - Golden Triangle Inc.
- Baptist Memorial Hospital - Golden Triangle Inc. (BMH Crna)
- Baptist Memorial Hospital - Golden Triangle Inc.
- Baptist Memorial Hospital - Golden Triangle Inc.
- Baptist Memorial Hospital - Golden Triangle Inc. (Baptist Behavioral Health Care-Golden Triangle)
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.