Healthcare Provider Details

I. General information

NPI: 1326397241
Provider Name (Legal Business Name): CORNERSTONE PALLIATIVE AND HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N STATE ST STE 480
JACKSON MS
39202-2080
US

IV. Provider business mailing address

PO BOX 51266
LAFAYETTE LA
70505-1266
US

V. Phone/Fax

Practice location:
  • Phone: 601-993-0053
  • Fax: 601-993-0463
Mailing address:
  • Phone: 337-233-1307
  • Fax: 337-233-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number208
License Number StateMS

VIII. Authorized Official

Name: NICHOLAS GACHASSIN
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 337-233-1307