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GENESIS HOSPICE CARE, LLC
NPI 1831411024
Hospice Care, Community Based in Clarksdale, MS

Active since February 16, 2010
2001 HOSPITAL DR, CLARKSDALE, MS 38614(662) 621-1171(662) 621-1172 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Hospice Care, Community Based

About GENESIS HOSPICE CARE, LLC

This page provides the complete NPI Profile along with additional information for Genesis Hospice Care, Llc, a provider established in Clarksdale, Mississippi operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1831411024 assigned on February 2010. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Charline Brandon (Administrator)

NPI
1831411024 Verify this NPI
Provider Name
GENESIS HOSPICE CARE, LLC
Entity Type
Organization
Location Address
2001 HOSPITAL DR CLARKSDALE, MS 38614
Location Phone
(662) 621-1171
Location Fax
(662) 621-1172
Mailing Address
PO BOX 1888 CLEVELAND, MS 38732
Mailing Phone
(662) 846-0100
Mailing Fax
(662) 846-0833
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2010
Last Update Date
02-16-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLINE BRANDON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(662) 846-0100

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Frequently Asked Questions

What is GENESIS HOSPICE CARE, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1831411024, enumerated as an "organization" on February 16, 2010.

Where is the provider located?

The provider is located at 2001 HOSPITAL DR CLARKSDALE, MS 38614 and the phone number is (662) 621-1171.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.