Healthcare Provider Details

I. General information

NPI: 1235117391
Provider Name (Legal Business Name): GILBERT'S HOSPICE CARE OF MISSISSIPPI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2006
Last Update Date: 07/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 SIMPSON HWY 149 SUITE 300
MAGEE MS
39111-3569
US

IV. Provider business mailing address

12900 FOSTER ST STE 400
OVERLAND PARK KS
66213-2696
US

V. Phone/Fax

Practice location:
  • Phone: 601-849-5803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. RUTH C. SCHWARTZ
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 913-814-2288