Life Source Services, LLC
Life Source Services, LLC is a healthcare organization registered as Community Based Hospice Care Agency in Greenwood, MS, holding Type 2 (organization) NPI 1295793982 since 2006. The authorized official on file is Randy Belton, Authorized Representative.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295793982 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Life Source Services, LLC |
| Other name | <Unavail> |
| Practice address | 115 FULTON ST, Greenwood, MS, 38930 |
| Phone | 6624519912 |
| Fax | 6624519915 |
| Enumeration date | 2006-05-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Randy Belton |
|---|---|
| Title | Authorized Representative |
| Phone | 6017091408 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251G00000X | Community Based Hospice Care Agency | Primary | 126 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03332314 | Medicaid | MS | — |
Copy-ready billing details
Provider: Life Source Services, LLC NPI: 1295793982 Taxonomy: 251G00000X (Community Based Hospice Care Agency) Address: 115 FULTON ST, Greenwood, MS, 38930
Verify this record
Cross-check NPI 1295793982 against the authoritative CMS record: view Life Source Services, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Life Source Services, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.