MEDICARE: HEART OF HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	195	MS

General Provider Information

NPI Number	:	1245761212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART OF HOSPICE LLC

Provider Business Mailing Address
First Line	:	PO BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-443-4154

Provider Business Practice Location Address
First Line	:	810 E SUNFLOWER RD STE 100C
Second Line	:
City	:	CLEVELAND
State	:	MS
Zip	:	38732-2828
Country	:	US
Telephone Number	:	662-350-0557
Fax Number	:	662-350-0481

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA L PROFFITT
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	09/13/2024

Similar Medicare Providers

1457353658 — DR. JOHN A CARR MD
Practice Location Address:

810 E SUNFLOWER RD STE 100A
CLEVELAND, MS
38732-2828

Practice Phone: 662-579-0118
Practice Fax: 662-846-5464

1821098302 — CHRISTIAN D. SCHUNN M.D.
Practice Location Address:

810 E SUNFLOWER RD STE 100B
CLEVELAND, MS
38732-2828

Practice Phone: 662-579-3484
Practice Fax: 662-579-3485

1730121336 — CLEVELAND MEDICAL ARTS PHARMACY INC
Practice Location Address:

810 E SUNFLOWER RD STE 100D
CLEVELAND, MS
38732-2828

Practice Phone: 662-843-4214
Practice Fax: 662-843-3398

1477575561 — BROOKE NICOLE TIMS RN, CFNP
Practice Location Address:

810 E SUNFLOWER RD STE 100A
CLEVELAND, MS
38732-2828

Practice Phone: 662-843-3606
Practice Fax:

1396996617 — CATHARYNE COSTANZI WRIGHT APRN, BC
Practice Location Address:

810 E SUNFLOWER RD STE 100A
CLEVELAND, MS
38732-2828

Practice Phone: 662-843-3606
Practice Fax:

1669990040 — AMANDA CHANDLER HILL
Practice Location Address:

810 E SUNFLOWER RD STE 100B
CLEVELAND, MS
38732-2828

Practice Phone: 662-579-3484
Practice Fax: 662-579-3485

Directions to “HEART OF HOSPICE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.