Provider Demographics
NPI:1700970712
Name:WE CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:WE CARE HOSPICE, INC.
Other - Org Name:WE CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-474-2030
Mailing Address - Street 1:3725 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOSS POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39563-5107
Mailing Address - Country:US
Mailing Address - Phone:228-474-2030
Mailing Address - Fax:227-474-1033
Practice Address - Street 1:3725 MAIN ST
Practice Address - Street 2:
Practice Address - City:MOSS POINT
Practice Address - State:MS
Practice Address - Zip Code:39563-5107
Practice Address - Country:US
Practice Address - Phone:228-474-2030
Practice Address - Fax:227-474-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS045251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00770240Medicaid
MS00770240Medicaid