Life Source Services, LLC
NPI 1417915091 · Community Based Hospice Care Agency · Madison, MS
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Source Services, LLC is a Community Based Hospice Care Agency organization in Madison, MS (NPI 1417915091).
Provider details
- NPI number
- 1417915091
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Toni Parkinson, Authorized Representative(601) 709-1408
- License
- 079 (LA)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pax Hospice (madison)
- Doing business as
- Pax Hospice (madison)
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Frequently asked questions
- What is Life Source Services, LLC's NPI number?
- Life Source Services, LLC's National Provider Identifier (NPI) is 1417915091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Source Services, LLC?
- Life Source Services, LLC is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Life Source Services, LLC located?
- Life Source Services, LLC's practice location on file with NPPES is 129 Executive Dr, Madison, MS 39110-8473.
- What is Life Source Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Source Services, LLC is (601) 898-1510.
- Does Life Source Services, LLC accept Medicare?
- Life Source Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Life Source Services, LLC?
- The authorized official listed on Life Source Services, LLC's NPPES record is Toni Parkinson, Authorized Representative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Source Services, LLC's NPI active?
- Yes — Life Source Services, LLC's NPI (1417915091) is active in the NPPES registry as of the last update on 2021-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.