Providence Hospice, LLC
Providence Hospice, LLC is a healthcare organization registered as Community Based Hospice Care Agency in Jackson, MS, holding Type 2 (organization) NPI 1548218738 since 2006. The authorized official on file is Richard Keyes, Managing Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548218738 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Providence Hospice, LLC |
| Practice address | 13 NORTHTOWN DR, SUITE 220, Jackson, MS, 39211 |
| Phone | 6019569755 |
| Fax | 6019560743 |
| Enumeration date | 2006-05-04 |
| Last updated in NPPES | 2007-12-18 |
Authorized official
| Name | Richard Keyes |
|---|---|
| Title | Managing Member |
| Phone | 6019569755 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251G00000X | Community Based Hospice Care Agency | Primary | 090 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08734861 | Medicaid | MS | — |
Copy-ready billing details
Provider: Providence Hospice, LLC NPI: 1548218738 Taxonomy: 251G00000X (Community Based Hospice Care Agency) Address: 13 NORTHTOWN DR, SUITE 220, Jackson, MS, 39211
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356375687 | Geriatric Services, Inc. | Organization | Parenteral & Enteral Nutrition Supplies (DME) | Jackson, MS |
| 1588759369 | Trinity Rehabilitation Inc | Organization | Physical Therapist | Jackson, MS |
| 1356568588 | John Frenz | Individual | Neurological Surgery Physician | Jackson, MS |
| 1063605459 | Vicki Merritt | Individual | Speech-Language Pathologist | Jackson, ME |
| 1669665048 | John Aldridge | Individual | Occupational Therapist | Jackson, MS |
| 1114110590 | Dana Holbrook | Individual | Physical Therapy Assistant | Jackson, MS |
| 1922291301 | Renee Maddox | Individual | Physical Therapist | Jackson, MS |
| 1003009481 | Barbara Wiggins | Individual | Occupational Therapist | Jackson, MS |
Verify this record
Cross-check NPI 1548218738 against the authoritative CMS record: view Providence Hospice, 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 the NPI number for Providence Hospice, LLC?
Who is the authorized official for Providence Hospice, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-18.