GULF COAST HOSPICE, LLC (NPI# 1366573412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366573412 |
| Entity Type | Organization |
| Organization Name | GULF COAST HOSPICE, LLC |
| Practice Address |
4107 Popps Ferry Rd Diberville MS 39540-2353 |
| Mailing Address |
5703 Gulf Tech Dr Ocean Springs MS 39564-8200 |
| Practice Telephone | 2288755447 |
| Mailing Telephone | 2288755447 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK AULTMAN (DIRECTOR) |
| Authorized Official Telephone | 2288755447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912066465 | Gulf Coast Hospice, LLC | Hospice Care, Community Based | 5703 Gulf Tech Dr, Ocean Springs, MS 39564-8200 | 2006-12-08 |
| Street Address |
4107 POPPS FERRY RD |
| City | DIBERVILLE |
| State | MS |
| Zip Code | 39540-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555636 | Lhcg Xxvi LLC | Hospice Care, Community Based | 4107 Popps Ferry Rd, Diberville, MS 39540-2353 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
| Find all providers in zip 39540 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952666588 | Pinnacle Hospice, LLC | Hospice Care, Community Based | 10532 Auto Mall Pkwy, Suite D, Diberville, MS 39540-3708 | 2012-07-10 |
| 1396755815 | Saad Medical Management, Inc. | Hospice Care, Community Based | 10598 Diberville Blvd Ste B, Diberville, MS 39540-2465 | 2006-08-08 |
| 1154608925 | Saad Enterprises, Inc. | Hospice Care, Community Based | 10598 Diberville Blvd Ste B, Diberville, MS 39540-2465 | 2011-11-08 |
| 1447555636 | Lhcg Xxvi LLC | Hospice Care, Community Based | 4107 Popps Ferry Rd, Diberville, MS 39540-2353 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719893 | Reformation, LLC | Hospice Care, Community Based | 5870 Belmont Rd, Hernando, MS 38632-9013 | 2020-10-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | DIBERVILLE |
| Zip Code | 39540 |
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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.