Sta-Home Hospice

LBN: Sta-Home Hospice
Sta-Home Hospice is an health care organization with primary practice located at 406 Briarwood Dr Suite 500, Jackson MS 39206-3039. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Sta-Home Hospice can be contacted via phone (601) 991-1933, or through Wood, Glenn D. via phone (601) 956-5100.

Contact Information

Primary practice address
406 Briarwood Dr Suite 500 Jackson MS 39206-3039
Phone: (601) 991-1933
Fax: (601) 991-3343
Website:
Map and Directions
Authorized official contact:
Name: Wood, Glenn D. Registered Nurse (RN)
Phone: (601) 956-5100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 023 Mississippi

Profile Details

NPI number 1821145285
LBN Legal business name Sta-Home Hospice
DBA Doing business as
Authorized official Wood, Glenn D. Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 29th, 2017 - about 7 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 1821145285 NPPES
Mississippi MEDICAID 00770002
Mississippi Other 000070004

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