NPI 1184411654 · live from the CMS NPI Registry
Arden Of Northeast Mississippi, LLC
Hospice Care, Community Based in Tupelo, MS. National Provider Identifier 1184411654, active.
NPI record
| NPI | 1184411654 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1022 Commonwealth Blvd, Tupelo, MS 38804 |
| Practice phone | 662-269-8959 |
| Mailing address | 133 Mayfair Rd, Hattiesburg, MS 39402 |
| Enumerated | April 21, 2025 |
| Last updated | April 21, 2025 |
| Authorized official | Wilford Payne, President/Ceo |
| Other names | Arden Hospice Of Tupelo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.