CANON HOSPICE-MISSISSIPPI INC (NPI# 1417900465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417900465 |
| Entity Type | Organization |
| Organization Name | CANON HOSPICE-MISSISSIPPI INC |
| Other Organization Name | CANON HOSPICE |
| Practice Address |
1520 Broad Ave Suite 500 Gulfport MS 39501-3601 |
| Mailing Address |
Po Box 850715 New Orleans LA 70185-0715 |
| Practice Telephone | 2285756251 |
| Practice Fax Number | 2285758225 |
| Mailing Telephone | 5046693825 |
| Mailing Fax Number | 2285758225 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-09-02 |
| Authorized Official Name | DR. SHIVA K AKULA (PRESIDENT) |
| Authorized Official Telephone | 5046693825 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 135 | MS | Agencies |
| Other Name | Type Code |
|---|---|
| Canon Hospice | Doing Business As Name - Organization |
| Street Address |
1520 BROAD AVE SUITE 500 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967280 | Select Specialty Hospital - Gulf Coast Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2005-07-26 |
| 1255661203 | Select Employment Services, Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2010-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134362106 | Camellia Hospice of The Gulf Coast, LLC | Hospice Care, Community Based | 11703 Highland Cir Ste B, Gulfport, MS 39503-4275 | 2009-04-07 |
| 1497873194 | Oncall of Mississippi | Hospice Care, Community Based | 16197b Landon Rd, Gulfport, MS 39503-4121 | 2007-03-27 |
| 1467481101 | Eternity Hospice Inc. | Hospice Care, Community Based | 12000 Mobile Ave, Gulfport, MS 39503-3113 | 2006-07-03 |
| 1922127430 | On Call Nursing of Mississippi | Hospice Care, Community Based | 16197b Landon Rd, Gulfport, MS 39503-4121 | 2007-03-28 |
| 1346379344 | Memorial Hospital At Gulfport | Hospice Care, Community Based | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-05 |
| 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 | ||||
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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.