NPIMap

Organization Active NPI

Genesis Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Clarksdale, MS
National Provider Identifier
1831411024
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GENESIS HOSPICE CARE, LLC
Practice address
2001 Hospital Dr
Clarksdale, MS 38614-7205
Phone
(662) 621-1171
Fax
(662) 621-1172
NPI assigned
Feb 16, 2010
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Charline Brandon
Title
Administrator
Phone
(662) 846-0100

Specialties & licenses 1

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

Addresses

Primary practice location

2001 Hospital Dr
Clarksdale, MS 38614-7205

Mailing address

PO Box 1888
Cleveland, MS 38732-1888
Phone (662) 846-0100

National Provider Directory

National Provider Directory
Tax ID family
Genesis Hospice Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Hospital Dr
Clarksdale, MS 38614
Phone (601) 627-4442

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1831411024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321888",
            "telephone_number": "662-846-0100",
            "fax_number": "662-846-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147205",
            "telephone_number": "662-621-1171",
            "fax_number": "662-621-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-846-0100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.