Organization Active NPI

Alliance Hospice, Inc

  • Community Based Hospice Care Agency
  • Corinth, MS
National Provider Identifier
1942320262
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLIANCE HOSPICE, INC
Practice address
909 S. Fulton Street
Corinth, MS 38834
Phone
(662) 286-9833
Fax
(662) 286-9939
NPI assigned
Mar 30, 2007
Last updated
Nov 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Authorized official

Name
April M Moore, LSW
Title
Administrator
Phone
(662) 286-9833

Specialties & licenses 1

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

Addresses

Primary practice location

909 S. Fulton Street
Corinth, MS 38834

Mailing address

909 S. Fulton Street
Corinth, MS 38834
Phone (662) 286-9833

Other identifiers 1

IdentifierTypeStateIssuer
01586856MedicaidMS

Other names 1

  • Heavenly Hospice Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2016 Change of OwnershipThis provider was the seller Vitalcaring GroupCCN 251648, MS, NPI 1336690296

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1942320262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S. FULTON STREET",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-9833",
            "fax_number": "662-286-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S. FULTON STREET",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-9833",
            "fax_number": "662-286-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-286-9833",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01586856",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Hospice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.