Enhabit Hospice Of Northeast Mississippi

LBN: Camellia Hospice Of Northeast Mississippi, Llc
Enhabit Hospice Of Northeast Mississippi is an health care organization with primary practice located at 499 Gloster Creek Vlg Ste I-7 , Tupelo MS 38801. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Camellia Hospice Of Northeast Mississippi, Llc can be contacted via phone (662) 844-2870, or through Carlisle, Crissy Buchanan via phone (214) 239-6500.

Contact Information

Primary practice address
499 Gloster Creek Vlg Ste I-7 Tupelo MS 38801
Fax: (662) 844-2871
Website:
Authorized official contact:
Name: Carlisle, Crissy Buchanan

Health care specialties

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

Profile Details

NPI number 1265710404
LBN Legal business name Camellia Hospice Of Northeast Mississippi, Llc
DBA Doing business as Enhabit Hospice Of Northeast Mississippi
Authorized official Carlisle, Crissy Buchanan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2011
Last updated Jul 3rd, 2022 - about 3 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 1265710404 NPPES
Mississippi MEDICAID 0177575

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