Canon Hospice, Llc



  
1520 Broad Avenue, Ste 500, Gulfport
Mississippi, 39501

 (22-8) -575-6251   Maps & Directions
Canon Hospice, Llc, also known as Canon Hospice is a hospice care center situated at Gulfport, Mississippi. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Canon Hospice, Llc accommodated approx. 216 Medicare beneficiaries whose average age was 78 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 251627. Canon Hospice, Llc comes under the CMS regional office located at Atlanta. This CMS regional office covers all hospices located in Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee. Services provided at Canon Hospice, Llc mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Canon Hospice, Llc provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Canon Hospice type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 251627
Hospice’s Ownership Type:For-Profit (06 Proprietary - Corporation)
Accreditation UnAccredited
Hospice Address:1520 Broad Avenue, Ste 500, Gulfport,
Mississippi, 39501
County:Harrison
Phone:(22-8) -575-6251
Fax:228-575-8225
CMS Regional Office Atlanta
Medicare Certification:
Medicare certification details of Canon Hospice, Llc with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:03 Jan, 2007
Current Status: Active Provider
Latest visit of the Health or LSC survey: 12 Jan, 2022
Status at the time of certification survey: Not in Compliance
Latest Certification Type: Termination
Certificate Provider: CMS Regional Office
MAC Blue Cross (south Carolina)
CBSA Code 25060 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Canon Hospice, Llc are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 216
RHC Days (in %) 90
Episode or Stay Count 216
Total Nursing Minutes 160635 Minutes (2677.25 Hours)
Days of Service 8,222
Average Age of Beneficiary 78 year
Average Risk Score of Beneficiaries 2.31
Total Medicare Payment Amount $ 1,816,814
Total Medicare Standard Payment Amount $ 2,059,623
Total Medicare Allowed Payment Amount $ 1,816,814
Total Charge Amount $ 3,600,246

Average Hospice Visit Count


Canon Hospice, Llc have 2673 skilled nursing visits, 170 social work visits and 2443 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Canon Hospice, Llc rendered hospice services to 56% Male and 44% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Canon Hospice, Llc provided hospice care to 78% White, 17% Black, 11% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Canon Hospice, Llc, 30% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Canon Hospice, Llc, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 44 of Neoplasms & Diseases of the Blood and Blood forming organs, 20 of Diseases of the Nervous System, 19 of Diseases of the Circulatory System, 7 of Diseases of the Respiratory System,

Services Provided:
Services available at Canon Hospice, Llc are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 98.493.9
Pain Assessment 21.077.7
Dyspnea Screening 99.297.3
Dyspnea Treatment 97.694.6
Patients Treated with an Opioid who are Given a Bowel Regimen 100.093.3
Employee Count:
Canon Hospice, Llc employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide6.250.0
Counseling1.0 0.0
Homemaker0.03.0
Medical Social Services1.250.0
Registered Nurses8.00.0
Practical/Vocational Nurses0.25 0.0
Other Personnel7.5 16.0
TOTAL24.2519.0
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Dr. Shiva K Akula
Position: President
Contact Number: 504-669-3825
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1417900465
NPI Enumeration Date: 19 May, 2006
NPI Last Update On: 02 Sep, 2014
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canon Hospice, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 135MississippiPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 850715,
New Orleans, Louisiana
Zip: 70185-0715
Phone Number: 504-669-3825
Fax Number: 228-575-8225
Patients can reach Canon Hospice at 1520 Broad Avenue, Ste 500, Gulfport, Mississippi or can call to book an appointment on (22-8) -575-6251.
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