Active NPI
Alliance Hospice, Inc
- Community Based Hospice Care Agency
- Corinth, MS
National Provider Identifier
1942320262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01586856 | Medicaid | MS |
Other names 1
- Heavenly Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2016 | Change of Ownership | Vitalcaring Group |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba VitalCaring Group
- Community Based Hospice Care Agency
- Tupelo, MS
- NPI 1336690296
Sold to, 2016-11-01
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.