PAX HOSPICE (MADISON)
NPI 1417915091
Hospice Care, Community Based in Madison, MS

Active since May 03, 2006
129 EXECUTIVE DR, SUITE C, MADISON, MS 39110(601) 898-1510(601) 898-1560 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pax Hospice (madison) NPPES

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

PAX HOSPICE (MADISON) (NPI 1417915091) is a healthcare organization registered as a hospice care, community based in Madison, Mississippi and active in the NPI registry since May 2006. The organization lists Toni Parkinson, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1417915091
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLIFE SOURCE SERVICES, LLC
Location Address129 EXECUTIVE DR, SUITE CMadison, MS 39110-8473
Mailing Address129 Executive Dr, Suite CMadison, MS 39110-8473 · (601) 898-1510 · Fax (601) 898-1560
Fax(601) 898-1560
Organization SubpartNo
Authorized OfficialToni ParkinsonAuthorized Representative · (601) 709-1408
Enumeration DateMay 3, 2006
Last NPPES UpdateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
NPI 1417915091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in LA · 079
129 EXECUTIVE DR, Madison, MS 39110

Other Names 1

Doing Business AsPax Hospice (madison)

Other Identifiers 1

Medicaid02580708MS

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 1417915091. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Pax Hospice (madison).

Where is Life Source Services, LLC located?

Life Source Services, LLC is located at 129 Executive Dr Suite C, Madison, MS 39110. The listed phone number is (601) 898-1510.

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 January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.