OUR FAMILY HOME HOSPICE (NPI# 1649490525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649490525 |
| Entity Type | Organization |
| Organization Name | OUR FAMILY HOME HOSPICE |
| Practice Address |
2570 Bailey Ave Suite 10 Jackson MS 39213-6905 |
| Mailing Address |
Po Box 1123 Jackson MS 39283-1233 |
| Practice Telephone | 6013621712 |
| Practice Fax Number | 6013627726 |
| Mailing Telephone | 6013621712 |
| Mailing Fax Number | 6013627726 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JACKIE GARNER (PRESIDENT) |
| Authorized Official Telephone | 6013621712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 058 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770343 | 05 |
| Street Address |
2570 BAILEY AVE SUITE 10 |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316165350 | A1 Healthcare | Durable Medical Equipment & Medical Supplies | 2570 Bailey Ave, Suite 1, Jackson, MS 39213-6905 | 2007-04-23 |
| 1518081413 | Earnest Lee Rankin | Family Medicine | 2570 Bailey Ave, Suite 7, Jackson, MS 39213-6905 | 2007-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1104211200 | Lhcg Lxvi, LLC | Hospice Care, Community Based | 308 E Pearl St, Suite 301, Jackson, MS 39201-3419 | 2015-04-06 |
| 1982945978 | At Home Hospice Care, Inc. | Hospice Care, Community Based | 5015 I 55 N, Ste A, Jackson, MS 39206-4306 | 2013-03-15 |
| 1811250269 | Allcare Hospice & Palliative Services LLC | Hospice Care, Community Based | 381 Edgewood Terrace Dr, Jackson, MS 39206-6217 | 2012-06-20 |
| 1548523186 | Hospice of Jackson - Hospice Home | Hospice Care, Community Based | 2150 Kingsbrooke Dr, Jackson, MI 49202-1300 | 2012-06-19 |
| 1003192477 | Creative Hospice Care, Inc | Hospice Care, Community Based | 791a Highway 36 E, Jackson, GA 30233-1792 | 2011-10-28 |
| 1548581499 | Perennial Hospice, Inc. | Hospice Care, Community Based | 5201 Cedar Park Dr, Suite D, Jackson, MS 39206-4140 | 2010-06-15 |
| 1881914711 | North Lion Hospice & Palliative Care, LLC | Hospice Care, Community Based | 135 Bounds Street, Suite C, Room 4, Jackson, MS 39206-4121 | 2010-06-02 |
| 1992027197 | Genesis Hospice Care, LLC | Hospice Care, Community Based | 135 Bounds St Ste C, Jackson, MS 39206-4121 | 2010-02-16 |
| Find all providers in JACKSON | ||||
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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.