Healthcare Provider Details

I. General information

NPI: 1386242097
Provider Name (Legal Business Name): TRADITIONS HOSPICE OF RIDGELAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2020
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 HIGHWAY 51 STE L
RIDGELAND MS
39157-2103
US

IV. Provider business mailing address

6840 CAROTHERS PKWY STE 550
FRANKLIN TN
37067-8002
US

V. Phone/Fax

Practice location:
  • Phone: 601-317-4947
  • Fax:
Mailing address:
  • Phone: 979-704-4657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN LANTIER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 979-704-6547