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STA-HOME HOSPICE, INC.

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Company Details

Name: STA-HOME HOSPICE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 09 Mar 1992 (33 years ago)
Business ID: 586669
ZIP code: 39302
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 1613 14TH STMERIDIAN, MS 39302

Incorporator

Name Role Address
VIC CARACCI Incorporator 5018 RIVERWOOD CIRCLE, JACKSON, MS 39211

Agent

Name Role Address
MELANIE GILMORE Agent 1613 14TH ST, MERIDIAN, MS 39302

National Provider Identifier

NPI Number:
1821145285

Authorized Person:

Name:
MR. GLENN D. WOOD
Role:
DIRECTOR OF COMPLIANCE
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
Yes

Contacts:

Fax:
6019913343

Filings

Type Status Filed Date Description
Amendment Form Filed 1992-07-17 Amendment
See File Filed 1992-07-17 See File
Name Reservation Form Filed 1992-03-09 Name Reservation

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Date of last update: 22 Apr 2025

Sources: Mississippi Secretary of State