Provider Demographics
NPI:1457587644
Name:HEALTH CARE OPTIONS HOSPICE OF MISSISSIPPI LLC
Entity Type:Organization
Organization Name:HEALTH CARE OPTIONS HOSPICE OF MISSISSIPPI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-261-0160
Mailing Address - Street 1:2941 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-3073
Mailing Address - Country:US
Mailing Address - Phone:769-216-3210
Mailing Address - Fax:769-216-3211
Practice Address - Street 1:2941 TERRY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-3073
Practice Address - Country:US
Practice Address - Phone:769-216-3210
Practice Address - Fax:769-216-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based