Providence Hospice South, Llc

LBN: Providence Hospice South, Llc
Providence Hospice South, Llc is an health care organization with primary practice located at 811 Rebecca Ave , Hattiesburg MS 39401. 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 South, Llc can be contacted via phone (601) 705-0360, or through Meeks, Michelle E via phone (601) 705-0360.

Contact Information

Primary practice address
811 Rebecca Ave Hattiesburg MS 39401
Phone: (601) 705-0360
Fax: (601) 705-0365
Website:
Map and Directions
Authorized official contact:
Name: Meeks, Michelle E Registered Nurse (RN)
Phone: (601) 705-0360

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 138 Mississippi

Profile Details

NPI number 1508814708
LBN Legal business name Providence Hospice South, Llc
DBA Doing business as
Authorized official Meeks, Michelle E Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Apr 4th, 2011 - about 13 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 1508814708 NPPES
Mississippi MEDICAID 08158561

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