MID-DELTA HOSPICE NORTH INC
NPI 1184687725
Hospice Care, Community Based in Southaven, MS

Active since April 06, 2006CLIA 25D1047042 · Waiver
230-2 GOODMAN ROAD, SUITE 200, SOUTHAVEN, MS 38671(662) 399-2860(662) 901-2048 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Apr 12, 2019 (2 updates tracked since 2019).

About Mid-delta Hospice North Inc NPPES

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

MID-DELTA HOSPICE NORTH INC (NPI 1184687725), doing business as Bristol Hospice - Southaven, is a healthcare organization registered as a hospice care, community based in Southaven, Mississippi and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Alex Mauricio, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1184687725
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameMID-DELTA HOSPICE NORTH INC
Location Address230-2 GOODMAN ROAD, SUITE 200Southaven, MS 38671
Mailing Address206 N 2100 W Ste 202Salt Lake City, UT 84116-4741 · (801) 325-0175
Fax(662) 901-2048
Organization SubpartNo
Authorized OfficialAlex MauricioCeo/president · (801) 325-0175
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 19, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1184687725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in MS · 111
230-2 GOODMAN ROAD, Southaven, MS 38671

Other Names 1

Doing Business AsBristol Hospice - Southaven

Accepted Insurance

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 25D1047042

Mid-Delta Hospice North Inc Dba Bristol Hospice - Southaven · Clarksdale, MS
Active · expires Oct 24, 2027
CLIA Number25D1047042
Laboratory TypeHospice
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorJami Canady
Laboratory Phone(662) 399-2860
Laboratory LocationMid-Delta Hospice North Inc Dba Bristol Hospice - Southaven617 N State St, Clarksdale, MS 38614
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Mid Delta Hospice North, Inc (CMS certification number 251620), from CMS Care Compare.

Mid Delta Hospice North, Inc

Hospice · Clarksdale, MS
OwnershipFor-Profit
CMS Certification Number251620
CMS RegionRegion 4
Medicare-Certified SinceNovember 14, 2005
Location617 North State StreetClarksdale, MS 38614 · Coahoma County

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 Mid-Delta Hospice North Inc's NPI number?

The NPI number for Mid-Delta Hospice North Inc is 1184687725. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as Bristol Hospice - Southaven.

Where is Mid-Delta Hospice North Inc located?

Mid-Delta Hospice North Inc is located at 230-2 Goodman Road Suite 200, Southaven, MS 38671. The listed phone number is (662) 399-2860.

What is Mid-Delta Hospice North Inc's specialty?

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

Does Mid-Delta Hospice North Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1047042) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Mid-Delta Hospice North Inc a Medicare-certified hospice?

Yes. Mid Delta Hospice North, Inc is a Medicare-certified hospice (CMS certification number 251620), certified since November 14, 2005.

What insurance does Mid-Delta Hospice North Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mid-Delta Hospice North Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Delta Hospice North Inc was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.