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PROVIDENCE HOSPICE, LLC
NPI 1548218738
Hospice Care, Community Based in Jackson, MS

Active since May 04, 2006
13 NORTHTOWN DR, SUITE 220, JACKSON, MS 39211(601) 956-9755(601) 956-0743 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Hospice, Llc NPPES

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

PROVIDENCE HOSPICE, LLC (NPI 1548218738) is a healthcare organization registered as a hospice care, community based in Jackson, Mississippi and active in the NPI registry since May 2006. The organization lists Richard E Keyes, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1548218738
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NamePROVIDENCE HOSPICE, LLC
Location Address13 NORTHTOWN DR, SUITE 220Jackson, MS 39211-3047
Mailing Address13 Northtown DrJackson, MS 39211-3047 · (601) 956-9755 · Fax (601) 956-0743
Phone(601) 956-9755
Fax(601) 956-0743
Organization SubpartNo
Authorized OfficialRichard E KeyesManaging Member · (601) 956-9755
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 18, 2007
✔ NPI 1548218738 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 · 090
13 NORTHTOWN DR, Jackson, MS 39211
Open in Google Maps ↗

Other Identifiers 2

Medicaid08734861MS
Medicare OSCAR/certification251586MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY ROBERT WALLACE PTA
Physical Therapy Assistant
13 NORTHTOWN DR, TRINITY REHAB SUITE 110
JACKSON, MS 39211
Hinds County (601) 206-9195
BARBARA A WIGGINS OTR/L
Occupational Therapist
13 NORTHTOWN DR, SUITE 110 TRINITY REHAB
JACKSON, MS 39211
Hinds County (601) 206-9195
DAYNA MICHELLE LOMBAS LOTR
Occupational Therapist
13 NORTHTOWN DR, TRINITY REHAB SUITE 110
JACKSON, MS 39211
Hinds County (601) 206-9195
BRIAN ALLEN HENRY LPTA
Physical Therapy Assistant
13 NORTHTOWN DR, SUITE 110
JACKSON, MS 39211
Hinds County (601) 206-9195
VICKI LAVERNE MERRITT CCC-SLP
Speech-Language Pathologist
13 NORTHTOWN DR, SUITE 110 TRINITY REHAB
JACKSON, ME 39211
Hinds County (601) 206-9195
RELIANT MEDICAL TRANSPORTATION, LLC
Ambulance (Land Transport)
13 NORTHTOWN DR, SUITE 130
JACKSON, MS 39211
Hinds County (601) 487-8993
TAMMY A POWELL MS, CCC-SLP
Speech-Language Pathologist
13 NORTHTOWN DR, SUITE 110
JACKSON, MS 39211
Hinds County (601) 206-9195
DANA W HOLBROOK LPTA
Physical Therapy Assistant
13 NORTHTOWN DR, SUITE 110 TRINITY REHAB
JACKSON, MS 39211
Hinds County (601) 206-9195

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 Providence Hospice, LLC's NPI number?

The NPI number for Providence Hospice, LLC is 1548218738. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Providence Hospice, LLC located?

Providence Hospice, LLC is located at 13 Northtown Dr Suite 220, Jackson, MS 39211. The listed phone number is (601) 956-9755.

What is Providence Hospice, 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 Providence Hospice, LLC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.