Pine View Area, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PINE VIEW AREA, LLC

Doing business as

Pilgrim's Rest Hospice

Practice address

1305 Country Club Rd
Hattiesburg, MS 39401-7640

Phone

(601) 310-0250

Fax

(601) 582-0149

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Antoine Poythress, CPA

Title

Consultant

Phone

(601) 408-8806

Specialties & licenses 1

Addresses

Other names 1

• Pilgrim's Rest Hospice Doing business as

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871707612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 COUNTRY CLUB RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017640",
            "telephone_number": "601-310-0250",
            "fax_number": "601-582-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 COUNTRY CLUB RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017640",
            "telephone_number": "601-310-0250",
            "fax_number": "601-582-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VIEW AREA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POYTHRESS",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "601-408-8806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pilgrim's Rest Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Hattiesburg, MS
• Providers in Hattiesburg, 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 Aug 22, 2020; 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.