Prime Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

029 Issued in MS

Legal business name

PRIME CARE HOSPICE, INC.

Practice address

316 N Davis Ave
Suite C
Cleveland, MS 38732-2303

Phone

(662) 846-7600

Fax

(662) 846-7606

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Larry Henry Eifling

Title

Owner

Phone

(662) 827-2765

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Hospice Care Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1861618787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387480276",
            "telephone_number": "662-827-2765",
            "fax_number": "662-827-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N DAVIS AVE",
            "address_2": "SUITE C",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322303",
            "telephone_number": "662-846-7600",
            "fax_number": "662-846-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "EIFLING",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-827-2765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770053",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael E Portner, MD
• Susan Prather, CFNP
• Stevenson Prescott
• Mary Elizabeth Prestage, M.A.
• Julie Manning Price, OT
• Dewayne Troy Proctor
• Raanne Ray Tindle D.M.D., P.a.
• Wesley W Radicioni
• Robert T Ragan, D.D.S.
• Paul William Rahfield, CRNA

• Community Based Hospice Care Agency in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.