ST. JUDE HOSPICE MISSISSIPPI, LLC (NPI# 1750471942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750471942 |
| Entity Type | Organization |
| Organization Name | ST. JUDE HOSPICE MISSISSIPPI, LLC |
| Practice Address |
3166 W Jackson St Suite # 2 Tupelo MS 38801-7154 |
| Mailing Address |
13375 University Ave Suite 200 Clive IA 50325-8261 |
| Practice Telephone | 6628415907 |
| Practice Fax Number | 6628415910 |
| Mailing Telephone | 5152219155 |
| Mailing Fax Number | 5152219157 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | MR. THOMAS J MORELAND (CEO) |
| Authorized Official Telephone | 5152219155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 094 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03504070 | 05 |
| Street Address |
3166 W JACKSON ST SUITE # 2 |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-7154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033426820 | Saint Jude Hospice-mississippi,llc | Hospice Care, Community Based | 3166 W Jackson St, Suite 2, Tupelo, MS 38801-7154 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265710404 | Camellia Hospice of Northeast Mississippi, LLC | Hospice Care, Community Based | 499 Gloster Creek Vlg Ste I-7, Tupelo, MS 38801 | 2011-07-21 |
| 1659392645 | Sanctuary Hospice House, Inc | Hospice Care, Community Based | 5159 W Main St, Tupelo, MS 38801-0200 | 2006-07-22 |
| 1497785646 | North Mississippi Hospice, Inc. | Hospice Care, Community Based | 105 S. Thomas St. Ste. 105, Tupelo, MS 38801-5337 | 2006-07-04 |
| 1417995846 | Aseracare Hospice - Corinth, LLC | Hospice Care, Community Based | 280 S Thomas St, Suite 101, Tupelo, MS 38801-4302 | 2006-06-04 |
| 1982669156 | North Mississippi Medical Center, Inc. | Hospice Care, Community Based | 422-b East President Ave, Tupelo, MS 38801-5500 | 2006-04-19 |
| 1659613529 | Unity Hospice Care, LLC | Hospice Care, Community Based | 1413 W Main St, Tupelo, MS 38801-3400 | 2013-03-19 |
| 1538419718 | Gilbert's Hospice Care, LLC | Hospice Care, Community Based | 144 S Thomas St, Suite 105, Tupelo, MS 38801-5337 | 2012-09-14 |
| 1669753356 | Hospice Advantage, LLC. | Hospice Care, Community Based | 280 S Thomas St, Suite 101, Tupelo, MS 38801-4302 | 2011-09-08 |
| 1033426820 | Saint Jude Hospice-mississippi,llc | Hospice Care, Community Based | 3166 W Jackson St, Suite 2, Tupelo, MS 38801-7154 | 2010-09-01 |
| 1508803842 | Southerncare, Inc. | Hospice Care, Community Based | 408 Council Cir, Suite B, Tupelo, MS 38801-4949 | 2006-06-02 |
| Find all providers in TUPELO | ||||
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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.