Canon Hospice, Llc



  
1520 Broad Avenue, Ste 500, Gulfport
Mississippi, 39501

 228-575-6251   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. 253 Medicare beneficiaries whose average age was 77 years in CY2016. 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, other, 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
Short-term inpatient care provided:Acute & Respite care
Accreditation UnAccredited
Hospice Address:1520 Broad Avenue, Ste 500, Gulfport,
Mississippi, 39501
County:Harrison
Phone:228-575-6251
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: 16 Jan, 2019
Status at the time of certification survey: In Compliance
Waiver of any life safety code: No
Latest Certification Type: Recertification
Certificate Provider: Atlanta CMS Regional Office
MAC Blue Cross (south Carolina)
CBSA Code 25060 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 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 253
RHC Days (in %) 72
Physician Services 1513
Average Age of Beneficiary 77 year
Total Medicare Payment Amount $ 2,231,749
Total Medicare Standard Payment Amount $ 2,539,080
Total Charge Amount $ 2,714,199

Average Service Hours per Day

Canon Hospice, Llc provided an average of 0.1 hours per day of home health, 0.24 hours per day of Skilled Nursing, 0.03 hours per day of Social Service hospice care.

Average Hospice Care Days

Canon Hospice, Llc have 123 Medicare beneficiaries with 7 or fewer hospice care days, 40 Medicare beneficiaries with more than 60 hospice care days, Medicare beneficiaries with more than 180 hospice care days.


Beneficiaries by Gender


Canon Hospice, Llc rendered hospice services to 115 Male and 138 Female Medicare beneficiaries in a calendar year.

Beneficiaries by Race


Canon Hospice, Llc provided hospice care to 207 White, 42 Black, 4 not disclosed Medicare beneficiaries in a calendar year.

Medicare/Medicaid Eligible Beneficiaries


At Canon Hospice, Llc, 53 beneficiaries enrolled in Medicare Advantage and 44 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.


Beneficiaries with Primary Disease Diagnosis

At Canon Hospice, Llc, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 105 of Cancer, 40 of Dementia, 20 of Stroke, 25 of Heart Disease, 24 of Respiratory 39 of Other Diseases

Site-of-service Hospice Beneficiaries

At Canon Hospice, Llc, distinct Medicare beneficiaries who received the majority of their hospice care days are 97 at home, 116 in an inpatient hospital, 39 in an inpatient hospice facility,

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
OtherProvided under Arrangement
Physician ServicesProvided under Arrangement
Physical TherapyProvided under Arrangement
Short Term Inpatient CareHospice Staff
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 99.193.9
Pain Assessment 28.077.7
Dyspnea Screening 99.697.3
Dyspnea Treatment 100.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen 92.093.3
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 Aide50
Counseling1 0
Homemaker05
Medical Social Services10
Registered Nurses50
Other Personnel8 30
TOTAL2035
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 228-575-6251.

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