Memorial Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

088 Issued in MS

Legal business name

MEMORIAL HOSPICE, INC.

Practice address

712 Highway 82 W Ste C
Greenwood, MS 38930-5028

Phone

(662) 453-4505

Fax

(662) 453-4509

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Vanella N. Campbell

Title

Ceo

Phone

(662) 624-2872

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Memorial Hospice Inc

  • Pediatric Skilled Nursing Facility
  • Clarksdale, MS
  • NPI 1538249792
  NPPES parent name

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258243200000",
    "number": "1891022844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1726",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386148526",
            "telephone_number": "662-624-2872",
            "fax_number": "662-627-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HIGHWAY 82 W STE C",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305028",
            "telephone_number": "662-453-4505",
            "fax_number": "662-453-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "VANELLA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-624-2872",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaporiah P McGee, PCMHT
• Andrea McMath
• Terry Y McMillin, MD
• Med-Trans Corporation
• Selina Renee Medders, M. ED., CMHT
• Carly Jo Meredith, CFNP
• Michael T. Boler, M.D.
• Ashton Chandrae Miller, PCMHT, M.ED.
• Jimmy Miller, MD
• Kela Miller

• Community Based Hospice Care Agency in Greenwood, MS
• Providers in Greenwood, 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 Nov 15, 2009; 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.