National Provider Identifier Database

GENESIS HOSPICE CARE
Hospice Care, Community Based


Contact Information

GENESIS HOSPICE CARE
201 WEST SUNFLOWER ROAD
POB 1888
CLEVELAND, MS38732
Phone: 662-846-0922
Fax: 662-846-0833
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for GENESIS HOSPICE CARE

NPI Number 1518030337
Legal business name
LBN
GENESIS HOSPICE CARE
Authorized official CHARLINE BRANDON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/17/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 04788594

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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