SOUTHWEST DEVELOPMENT CORPORATION, INC. (NPI# 1447484092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447484092 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DEVELOPMENT CORPORATION, INC. |
| Other Organization Name | MEDGAR EVERS HOSPICE |
| Practice Address |
210 Gilchrist Street Fayette MS 39069-0699 |
| Mailing Address |
210 Gilchrist Street Post Office Box 699 Fayette MS 39069-0699 |
| Practice Telephone | 6017863955 |
| Practice Fax Number | 6017863910 |
| Mailing Telephone | 6017863955 |
| Mailing Fax Number | 6017863910 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |
| Authorized Official Name | MS. MARY T. IRVING (EXECUTIVE DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 6017863955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 180 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MISSISSIPPI STATE DEPARTMENT OF HEALTH | 180 | 01 |
| Other Name | Type Code |
|---|---|
| Medgar Evers Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972730984 | Southwest Development Corporation, Inc. | Community/Behavioral Health | 210 Gilchrist St., Fayette, MS 39069-0160 | 2009-06-17 |
| 1841372976 | Southwest Development Corporation, Inc. | Home Health | 210 Gilchrist Street, Fayette, MS 39069-0699 | 2006-10-19 |
| 1275768319 | Southwest Development Corporation, Inc. | Respite Care | 210 Gilchrist Street, Post Office Box 699, Fayette, MS 39069-0699 | 2009-05-19 |
| Street Address |
210 GILCHRIST STREET |
| City | FAYETTE |
| State | MS |
| Zip Code | 39069-0699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841372976 | Southwest Development Corporation, Inc. | Home Health | 210 Gilchrist Street, Fayette, MS 39069-0699 | 2006-10-19 |
| 1275768319 | Southwest Development Corporation, Inc. | Respite Care | 210 Gilchrist Street, Post Office Box 699, Fayette, MS 39069-0699 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1942741764 | Prime Health and Wellness | Nurse Practitioner | 300 Shannon Street, Fayette, MS 39069 | 2017-03-13 |
| 1063967768 | P-cares Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3476 River Road, Box 1055, Fayette, MS 39069 | 2016-08-23 |
| 1669866331 | Kanayo Ugboaja | Contractor | 157 Hicks St, Fayette, MS 39069 | 2015-03-20 |
| 1053666503 | Valerie Michele White | Nurse Practitioner | 225 Community Dr., Fayette, MS 39069 | 2012-07-20 |
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1922271691 | Jefferson Comprehensive Health Center Inc | Clinic/Center | Route 1 Box 266, Fayette, MS 39069 | 2008-04-02 |
| 1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
| 1356410229 | Johnny B Bills | Family Medicine | 225 Community Ave, Fayette, MS 39069 | 2006-11-07 |
| 1962583971 | Priscilla Jackson | Nurse Practitioner | 225 Community Drive, Fayette, MS 39069 | 2006-10-17 |
| Find all providers in zip 39069 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629152822 | Fayette Medical Center | Hospice Care, Community Based | 120 15th Street Nw, Fayette, AL 35555-1526 | 2006-10-24 |
| 1740376219 | Howard County Home Health and Hospice | Hospice Care, Community Based | 101 Furr St, Fayette, MO 65248-1069 | 2006-10-04 |
| 1437353752 | At Home Hospice Care, Inc. | Hospice Care, Community Based | 1264 Main Street, Suite B, Fayette, MS 39069-5466 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719893 | Reformation, LLC | Hospice Care, Community Based | 5870 Belmont Rd, Hernando, MS 38632-9013 | 2020-10-29 |
| 1629619051 | Daniel Campbell | Hospice Care, Community Based | 721 S Church St, Brookhaven, MS 39601-3811 | 2019-10-07 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1821514175 | Infinity Hospice Care,inc | Hospice Care, Community Based | 110 S Pearl St, Carthage, MS 39051-4132 | 2017-08-18 |
| 1023530904 | Solace Hospice Inc | Hospice Care, Community Based | 215 Highway 26 E, Poplarville, MS 39470-3109 | 2017-07-12 |
| 1265961940 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 695 Shamrock Dr, Batesville, MS 38606-2256 | 2017-06-07 |
| 1740719418 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 | 2017-06-07 |
| 1508393646 | Lhcg C, LLC | Hospice Care, Community Based | 2309 Bluecutt Rd Ste B, Columbus, MS 39705-1305 | 2017-05-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.