Provider Demographics
NPI:1104043116
Name:SEYAH HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:SEYAH HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FLEMMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-265-5333
Mailing Address - Street 1:PO BOX 231
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:MS
Mailing Address - Zip Code:38753-0231
Mailing Address - Country:US
Mailing Address - Phone:662-265-5333
Mailing Address - Fax:662-265-5005
Practice Address - Street 1:813 WEST GRAND AVENUE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:MS
Practice Address - Zip Code:38753
Practice Address - Country:US
Practice Address - Phone:662-265-5333
Practice Address - Fax:662-265-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS251599Medicare ID - Type UnspecifiedNATCHEZ OFFICE
MS251543Medicare ID - Type UnspecifiedINVERNESS OFFICE
MS251598Medicare ID - Type UnspecifiedPASCAGOULA OFFICE
MS251582Medicare ID - Type UnspecifiedLUAREL OFFICE