NPI 1669753356 · live from the CMS NPI Registry
Hospice Advantage, LLC.
Hospice Care, Community Based in Tupelo, MS. National Provider Identifier 1669753356, active.
NPI record
| NPI | 1669753356 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 280 S Thomas St, Suite 101, Tupelo, MS 38801 |
| Practice phone | 662-840-3434 |
| Mailing address | 401 Center Ave, Bay City, MI 48708 |
| Enumerated | September 8, 2011 |
| Last updated | January 11, 2013 |
| Authorized official | Kayanne Mynsberge, Coo |
| Other names | Hospice Advantage, INC. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 071 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.