NPI 1104357177 · live from the CMS NPI Registry
Heart Of Hospice, LLC
Hospice Care, Community Based in Hattiesburg, MS. National Provider Identifier 1104357177, active.
NPI record
| NPI | 1104357177 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 2018 Hardy St Ste 210, Hattiesburg, MS 39401 |
| Practice phone | 601-714-1221 |
| Mailing address | Po Box 51266, Lafayette, LA 70505 |
| Enumerated | March 22, 2017 |
| Last updated | December 18, 2023 |
| Authorized official | Joshua Proffitt, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 193 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.