REFORMATION, LLC (NPI# 1033719893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033719893 |
| Entity Type | Organization |
| Organization Name | REFORMATION, LLC |
| Practice Address |
5870 Belmont Rd Hernando MS 38632-9013 |
| Practice Telephone | 9018256883 |
| Mailing Telephone | 9018256883 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | KASIE COLLINS (DIRECTOR) |
| Authorized Official Telephone | 1901825688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Reformation, LLC | Doing Business As Name - Organization |
| Street Address |
5870 BELMONT RD |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-9013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619051 | Daniel Campbell | Hospice Care, Community Based | 721 S Church St, Brookhaven, MS 39601-3811 | 2019-10-07 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1821514175 | Infinity Hospice Care,inc | Hospice Care, Community Based | 110 S Pearl St, Carthage, MS 39051-4132 | 2017-08-18 |
| 1023530904 | Solace Hospice Inc | Hospice Care, Community Based | 215 Highway 26 E, Poplarville, MS 39470-3109 | 2017-07-12 |
| 1265961940 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 695 Shamrock Dr, Batesville, MS 38606-2256 | 2017-06-07 |
| 1740719418 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 | 2017-06-07 |
| 1508393646 | Lhcg C, LLC | Hospice Care, Community Based | 2309 Bluecutt Rd Ste B, Columbus, MS 39705-1305 | 2017-05-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1245761212 | Heart of Hospice LLC | Hospice Care, Community Based | 810 E Sunflower Rd Ste 100c, Cleveland, MS 38732-2828 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.