PAX HOSPICE (GREENWOOD)
NPI 1295793982
Hospice Care, Community Based in Greenwood, MS

Active since May 02, 2006
115 FULTON ST, GREENWOOD, MS 38930(662) 451-9912(662) 451-9915 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pax Hospice (greenwood) NPPES

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

PAX HOSPICE (GREENWOOD) (NPI 1295793982) is a healthcare organization registered as a hospice care, community based in Greenwood, Mississippi and active in the NPI registry since May 2006. The organization lists Randy Belton, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1295793982
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLIFE SOURCE SERVICES, LLC
Location Address115 FULTON STGreenwood, MS 38930-4361
Mailing Address115 Fulton StGreenwood, MS 38930-4361 · (662) 451-9912 · Fax (662) 451-9915
Fax(662) 451-9915
Organization SubpartNo
Authorized OfficialRandy BeltonAuthorized Representative · (601) 709-1408
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1295793982 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 · 126
115 FULTON ST, Greenwood, MS 38930

Other Names 1

Doing Business AsPax Hospice (greenwood)

Other Identifiers 1

Medicaid03332314MS

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 Life Source Services, LLC's NPI number?

The NPI number for Life Source Services, LLC is 1295793982. It was assigned to this organization in the NPPES registry on May 2, 2006. The provider is doing business as Pax Hospice (greenwood).

Where is Life Source Services, LLC located?

Life Source Services, LLC is located at 115 Fulton St, Greenwood, MS 38930. The listed phone number is (662) 451-9912.

What is Life Source Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Life Source Services, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.