MAGNOLIA HOSPICE OF MISSISSIPPI
NPI 1205945128
Hospice Care, Community Based in Yazoo City, MS
NPI Status: Active since August 30, 2006
Contact Information
405 E FIFTEENTH ST
YAZOO CITY, MS
ZIP 39194
Phone: (662) 751-1888
Fax: (662) 751-1884
- Organization
- Hospice Care, Community Based
- CLIA Number: 25D2310985
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 09-12-2026
About MAGNOLIA HOSPICE OF MISSISSIPPI
This page provides the complete NPI Profile along with additional information for Magnolia Hospice Of Mississippi, a provider established in Yazoo City, Mississippi operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1205945128 assigned on August 2006. The practitioner's primary taxonomy code is 251G00000X with license number 134 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Sharon Shive (Administrator)
- NPI
- 1205945128
- Provider Name
- MAGNOLIA HOSPICE OF MISSISSIPPI
- Entity Type
- Organization
- Location Address
- 405 E FIFTEENTH ST YAZOO CITY, MS 39194
- Location Phone
- (662) 751-1888
- Location Fax
- (662) 751-1884
- Mailing Address
- 405 E FIFTEENTH ST YAZOO CITY, MS 39194
- Mailing Phone
- (662) 751-1888
- Mailing Fax
- (662) 751-1884
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 134
- License State
- MS
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 09051700 | MEDICAID (05) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2310985
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- September 13, 2024
- Certificate Expiration Date
- September 12, 2026
- Laboratory Director
- LAURA TURMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Hospice Of Mississippi to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 4 | 5 | 1 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 4 | 10 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 4 + 1 + 0 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1205945128 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205945128, enumerated in the NPI registry as an "organization" on August 30, 2006
The provider is located at 405 E Fifteenth St Yazoo City, Ms 39194 and the phone number is (662) 751-1888
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D2310985 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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