Providence Hospice, Llc

LBN: Providence Hospice, Llc
Providence Hospice, Llc is an health care organization with primary practice located at 13 Northtown Dr Suite 220, Jackson MS 39211-3047. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Providence Hospice, Llc can be contacted via phone (601) 956-9755, or through Keyes, Richard E via phone (601) 956-9755.

Contact Information

Primary practice address
13 Northtown Dr Suite 220 Jackson MS 39211-3047
Phone: (601) 956-9755
Fax: (601) 956-0743
Website:
Map and Directions
Authorized official contact:
Name: Keyes, Richard E
Phone: (601) 956-9755

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 090 Mississippi

Profile Details

NPI number 1548218738
LBN Legal business name Providence Hospice, Llc
DBA Doing business as
Authorized official Keyes, Richard E
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Dec 18th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548218738 NPPES
Mississippi MEDICAID 08734861

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