NPI 1194804542 · live from the CMS NPI Registry
Alpha Healthcare And Nursing Srvc LLC
Hospice Care, Community Based in Jackson, MS. National Provider Identifier 1194804542, active.
NPI record
| NPI | 1194804542 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 407 Briarwood Dr, Jackson, MS 39206 |
| Practice phone | 601-977-1198 |
| Mailing address | Po Box 59446, Jackson, MS 39284 |
| Enumerated | November 6, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Toya Gaddis-Brown, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | pending (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.