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ARDEN OF NORTHEAST MISSISSIPPI, LLC
NPI 1184411654
Hospice Care, Community Based in Tupelo, MS

Active since April 21, 2025CLIA 25D1056190 · Waiver
1022 COMMONWEALTH BLVD, TUPELO, MS 38804(662) 269-8959(662) 269-8969 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arden Of Northeast Mississippi, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARDEN OF NORTHEAST MISSISSIPPI, LLC (NPI 1184411654), doing business as Arden Hospice Of Tupelo, is a healthcare organization registered as a hospice care, community based in Tupelo, Mississippi and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Wilford A Payne, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1184411654
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameARDEN OF NORTHEAST MISSISSIPPI, LLC
Location Address1022 COMMONWEALTH BLVDTupelo, MS 38804-9300
Mailing Address133 Mayfair RdHattiesburg, MS 39402-1464 · (601) 582-6031
Phone(662) 269-8959
Fax(662) 269-8969
Organization SubpartNo
Authorized OfficialWilford A PaynePresident/ceo · (601) 582-6031
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1184411654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1022 COMMONWEALTH BLVD, Tupelo, MS 38804
Open in Google Maps ↗

Other Names 1

Doing Business AsArden Hospice Of Tupelo

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1056190

Arden Of North Mississippi LLC · Tupelo, MS
Active · expires Nov 4, 2026
CLIA Number25D1056190
Laboratory TypeHospice
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorNiles Lovelady
Laboratory Phone(662) 269-8959
Laboratory LocationArden Of North Mississippi LLC499 Gloster Creek Village Ste I-12, Tupelo, MS 38801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arden Of Northeast Mississippi, LLC's NPI number?

The NPI number for Arden Of Northeast Mississippi, LLC is 1184411654. It was assigned to this organization in the NPPES registry on April 21, 2025. The provider is doing business as Arden Hospice of Tupelo.

Where is Arden Of Northeast Mississippi, LLC located?

Arden Of Northeast Mississippi, LLC is located at 1022 Commonwealth Blvd, Tupelo, MS 38804. The listed phone number is (662) 269-8959.

What is Arden Of Northeast Mississippi, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Arden Of Northeast Mississippi, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1056190) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arden Of Northeast Mississippi, LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.