Providence Hospice, Llc in Jackson - Hospice Care, Community Based

Providence Hospice, Llc - NPI 1548218738

Providence Hospice, Llc is a Hospice Care, Community Based in Jackson, Mississippi. Providence Hospice, Llc practices all healthcare services and medical treatments related to Hospice Care, Community Based. The NPI Number for Providence Hospice, Llc is 1548218738. The last update date is 2007-12-18.

Providence Hospice, Llc's current location address is 13 Northtown Dr, Jackson, Mississippi. You can contact this provider via phone number 6019569755 and fax number 6019560743. The mailing address for Providence Hospice, Llc is 13 Northtown Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Hospice, Llc
Address 13 Northtown Dr, Jackson, Mississippi
Phone Number 6019569755
Fax Number 6019560743
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING M
Authorized Official Name Keyes E Richard
Telephone Number 6019569755

NPI Number Detail

NPI Number 1548218738
Provider Enumeration Date 2006-05-04
Last Updated Date 2007-12-18

Provider Mailing Address Detail

Address 13 Northtown Dr
City Jackson
State Mississippi (MS)
Post Code 392113047
Phone Number 6019569755
Fax Number 6019560743

Provider's Primary Taxonomy Detail

Speciality Hospice Care, Community Based
Taxonomy 251G00000X
Licence No 90
Definition:
Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8734861 MS --

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FAQs about Providence Hospice, Llc

What is the unique identifier code issued to Providence Hospice, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Providence Hospice, Llc has been assigned the NPI (National Provider Identifier) 1548218738. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Providence Hospice, Llc is physically located?

The Providence Hospice, Llc is physically situated at the following address: 13 Northtown Dr, Jackson, MS, 392113047.

What is the Providence Hospice, Llc's area of specialization and corresponding taxonomy classification?

The Providence Hospice, Llc's specialty field is Hospice Care, Community Based, and it falls under the taxonomy code 251G00000X, which categorizes healthcare providers based on their specialties.

When was the Providence Hospice, Llc's 1548218738 issued?

The Providence Hospice, Llc's 1548218738 was issued on 2006-05-04.

When was the information pertaining to Providence Hospice, Llc most recently updated or revised?

The details related to Providence Hospice, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-18.

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