1366475543 NPI number — HELPING HANDS HOSPICE

Table of content: (NPI 1366475543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366475543 NPI number — HELPING HANDS HOSPICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS HOSPICE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOSPICE IN HIS HANDS MAGEE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366475543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 387
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALNUT GROVE
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-267-6830
Provider Business Mailing Address Fax Number:
601-267-6690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
521 5TH STREET SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAGEE
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-849-5903
Provider Business Practice Location Address Fax Number:
601-849-5346
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCMILLAN
Authorized Official First Name:
DIANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF FINANCE & REIMBURSEMENT
Authorized Official Telephone Number:
601-267-6830

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  251G00000X , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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