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Export Provider Record NPI 1265710404
Camellia Hospice Of Northeast Mississippi, Llc
Organization Subpart: YES
Active
NPI Number1265710404
NPI TypeNPI-2 Organization
SpecialtyHospice Care, Community Based
Provider Details
NPI1265710404
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-07-21
Last Updated2024-12-31
Authorized OfficialJulie Jolley
EVP of Home Health Operations
Phone: 2142396500
Mailing Address6688 N Central Expy Ste 13
Dallas, TX 75206-3914
United States
Phone: (214) 239-6500 | Fax: (214) 239-6581
📍 View Map
Primary Practice Address499 Gloster Creek Vlg Ste I-7
Tupelo, MS 38801
United States
Phone: (662) 844-2870 | Fax: (662) 844-2871
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMS0177575-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes251G00000X – Hospice Care, Community BasedMS-
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About NPI 1265710404

Camellia Hospice Of Northeast Mississippi, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265710404. The primary specialty listed is Hospice Care, Community Based. The organization is located in Tupelo, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-07-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265710404?

NPI 1265710404 belongs to Camellia Hospice Of Northeast Mississippi, Llc, a Hospice Care, Community Based in Tupelo, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265710404 active?

The current status of NPI 1265710404 in the NPPES registry is Active. The record was last updated on 2024-12-31.

What specialty is NPI 1265710404?

NPI 1265710404 is classified under the taxonomy Hospice Care, Community Based. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265710404?

You can verify NPI 1265710404 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265710404?

The primary practice address on file for NPI 1265710404 is 499 Gloster Creek Vlg Ste I-7, Tupelo, MS 38801. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265710404 issued?

NPI 1265710404 was first issued (enumerated) on 2011-07-21. The NPPES record was last updated on 2024-12-31.

Practice Location Map

Camellia Hospice Of Northeast Mississippi, Llc is located at 499 Gloster Creek Vlg Ste I-7, Tupelo, MS. Use the map below to find directions or verify the practice location.

📍 499 Gloster Creek Vlg Ste I-7, Tupelo, MS 38801  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Camellia Hospice Of Northeast Mississippi, Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162