NPIMap

Organization Active NPI

Quality Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Philadelphia, MS
National Provider Identifier
1902805161
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
086 Issued in MS
Legal business name
QUALITY HOSPICE CARE, INC
Practice address
340 Byrd Ave S
Philadelphia, MS 39350-2516
Phone
(601) 656-5252
Fax
(601) 656-5253
NPI assigned
Jul 19, 2005
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mrs. Joann T. Rounsaville, LBSW
Title
President
Phone
(601) 656-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 086 MS Primary

Addresses

Primary practice location

340 Byrd Ave S
Philadelphia, MS 39350-2516

Mailing address

340 Byrd Ave S
Philadelphia, MS 39350-2516
Phone (601) 656-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091026000486 MS Part A Provider - Hospice 9739099185 Practice locations: Philadelphia, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902805161. Details of each certification follow.

Hospice certification: CCN 251580

Legal name
QUALITY HOSPICE CARE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 3, 2003
Last certification
Jan 23, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 14, 2003 in MS
Enrollment address
317 Range Ave
Philadelphia, MS 39350-2670

Care Compare: Hospice

Medicare Care Compare
Listed as
Quality Hospice Care, IncCCN 251580 · All quality measures
Ownership
For-Profit
Certified
Jul 3, 2003
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1413 23rd Ave
Meridian, MS 39301
Phone (601) 693-0103

340 Byrd Ave S
Philadelphia, MS 39350
Phone (601) 656-5252

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jo Ann Rounsaville Individual 5% Or Greater Direct Ownership Interest Apr 14, 2003 50%
Corporate OfficerPresident Apr 13, 2003 50%
Rex Rounsaville Individual 5% Or Greater Direct Ownership Interest Apr 14, 2003 10%
Corporate OfficerSecretary Treasurer Apr 13, 2003 10%
Tyler Rounsaville Individual 5% Or Greater Direct Ownership InterestVP Jul 1, 2019 40%
Corporate OfficerVP Jul 1, 2019 40%
Corporate DirectorBoard Member, Governing Body Mem Oct 1, 2009 40%
Operational/Managerial ControlVP Jul 1, 2019 40%
Ann Barefield Individual W-2 Managing EmployeeAdministrator Oct 5, 2009 25%

Practitioners & affiliated clinicians

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1902805161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BYRD AVE S",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502516",
            "telephone_number": "601-656-5252",
            "fax_number": "601-656-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BYRD AVE S",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502516",
            "telephone_number": "601-656-5252",
            "fax_number": "601-656-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "ROUNSAVILLE",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-656-5252",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.