Alliance Healthcare Hospice

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

ALLIANCE HEALTHCARE HOSPICE

Practice address

617A Highway 7 S
Holly Springs, MS 38635-9327

Phone

(662) 252-1222

NPI assigned

Sep 12, 2017

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Williams, MDNPI 1851480974

Title

President / Owner

Phone

(662) 252-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992224885. Details of each certification follow.

• CCN 251644 Hospice · Active · Details

Hospice certification: CCN 251644

Legal name

ALLIANCE HEALTHCARE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 17, 2007

Last certification

Sep 18, 2019

Ownership / control type

Non-Profit - Private

Organization structure

LLCProprietary

Incorporated

Sep 8, 2017 in MS

Enrollment address

617A Highway 7 S
Holly Springs, MS 38635-9327

Listed as

Alliance Healthcare HospiceCCN 251644 · All quality measures

Ownership

For-Profit

Certified

Aug 17, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kenneth Williams, MD

  • Internal Medicine Physician
  • Holly Springs, MS
  • NPI 1851480974

  5% Or Greater Direct Ownership Interest

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

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

• Physician Hospice Care LLC

  • Community Based Hospice Care Agency
  • Flowood, MS
  • NPI 1487716528

  Acquired from, 2017-08-31

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Williams, MD

  • Internal Medicine Physician
  • Holly Springs, MS
  • NPI 1851480974
  NPD (past) Authorized official

Affiliated clinicians 1

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

• Kenneth Williams, MD

  • Internal Medicine Physician
  • Holly Springs, MS
  • NPI 1851480974

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1992224885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617A HIGHWAY 7 S",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386359327",
            "telephone_number": "662-252-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617A HIGHWAY 7 S",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386359327",
            "telephone_number": "662-252-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "662-252-1222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zelma Allen, FNP-C
• Alliance Healthcare System
• Alliance Healthcare System
• Alliance Healthcare System (WMC Pharmacy)
• Alliance Healthcare System
• Alliance Healthcare System

• Hospice and Palliative Medicine (Internal Medicine) Physician in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.