North Delta Hospice and Palliative Services,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

137 Issued in MS

Legal business name

NORTH DELTA HOSPICE AND PALLIATIVE SERVICES,LLC

Practice address

520 Goodman Rd E
Southaven, MS 38671-9526

Phone

(662) 393-0170

Fax

(662) 393-0171

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Raymond E Vallier

Title

Administrator/Owner

Phone

(901) 490-5999

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1962460568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710019",
            "telephone_number": "662-393-0170",
            "fax_number": "662-393-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719526",
            "telephone_number": "662-393-0170",
            "fax_number": "662-393-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DELTA HOSPICE AND PALLIATIVE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "VALLIER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "901-490-5999"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "137",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.