Organization Active NPI

Baptist Memorial Home Care Inc

Doing business as Baptist Hospice-Golden Triangle

  • Inpatient Hospice
  • Columbus, MS
National Provider Identifier
1821312364
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
003 Issued in MS
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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)CodeLicenseStatePrimary
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 Doing business as

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

DateEventCounterparty
Jun 1, 2017 Change of OwnershipThis provider was the seller Baptist Hospice - Golden TriangleCCN 251504, MS, NPI 1508393646

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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.

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

Sources for this page

Verify at the official NPI Registry.