MID-SOUTH HOME CARE SERVICES, LLC (NPI# 1306351275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306351275 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HOME CARE SERVICES, LLC |
| Other Organization Name | EMERALD COAST PALLIATIVE CARE |
| Practice Address |
5111 N 12th Ave Ste B Pensacola FL 32504-8918 |
| Mailing Address |
Po Box 4060 Mooresville NC 28117-4060 |
| Practice Telephone | 8504382201 |
| Mailing Telephone | 7046622876 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | JESSICA KLEBERG (SVP & CHIEF OPERATIONS COUNSEL KAH) |
| Authorized Official Telephone | 7046622876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Emerald Coast Palliative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195028 | Mid-south Home Care Services, LLC | Internal Medicine | 4776 New Broad St Ste 150, Orlando, FL 32814-6407 | 2020-05-08 |
| 1174156210 | Mid-south Home Care Services, LLC | Internal Medicine | 6161 Blue Lagoon Dr Ste 170&200, Miami, FL 33126-2057 | 2020-02-18 |
| 1669975280 | Mid-south Home Care Services, LLC | Internal Medicine | 22820 E Appleway Ave Ste C, Liberty Lake, WA 99019-9514 | 2018-03-09 |
| 1407361371 | Mid-south Home Care Services, LLC | Internal Medicine | 2800 Dauphin St Ste 103, Mobile, AL 36606-2400 | 2017-12-13 |
| 1376988006 | Mid-south Home Care Services, LLC | Internal Medicine | 962 Tommy Munro Dr, Suite E, Biloxi, MS 39532-2138 | 2013-05-08 |
| 1679518336 | Mid-south Home Care Services, LLC | Durable Medical Equipment & Medical Supplies | 608 E. Baldwin Road, Panama City, FL 32405-4208 | 2006-06-18 |
| 1720617806 | Mid-south Home Care Services, LLC | Hospice Care, Community Based | 1800 W Mason St Ste A, Green Bay, WI 54303-2333 | 2020-04-02 |
| 1770085573 | Mid-south Home Care Services, LLC | Internal Medicine | 1400 Donelson Pike Ste B5-a, Nashville, TN 37217-2934 | 2018-03-07 |
| 1922535400 | Mid-south Home Care Services, LLC | Internal Medicine | 2740 Headland Ave, Dothan, AL 36303-1236 | 2017-05-16 |
| 1174559710 | Mid-south Home Care Services, LLC | Durable Medical Equipment & Medical Supplies | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MID-SOUTH HOME CARE SERVICES, LLC | 655 Brawley School Road, Suite 200, Mooresville, NC 28117 |
| Street Address |
5111 N 12TH AVE STE B |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-8918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730408360 | Lisa Kay Papic | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504-8615 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195028 | Mid-south Home Care Services, LLC | Internal Medicine | 4776 New Broad St Ste 150, Orlando, FL 32814-6407 | 2020-05-08 |
| 1174156210 | Mid-south Home Care Services, LLC | Internal Medicine | 6161 Blue Lagoon Dr Ste 170&200, Miami, FL 33126-2057 | 2020-02-18 |
| 1003464561 | Matrix Md Corp | Internal Medicine | 987 Sw 37th Ave Apt 1011, Miami, FL 33135-4294 | 2019-08-28 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1730509670 | Jessica Elisabeth Eichler | Internal Medicine | 277 Nw 12th St, Boca Raton, FL 33432-2655 | 2014-04-18 |
| 1508284969 | Alison Jane Burt | Internal Medicine | 12901 Bruce B Downs Blvd # 19, Tampa, FL 33612 | 2014-04-02 |
| 1487076451 | Horizon Palliative Care Partners | Internal Medicine | 1961 Iowa Ave Ne, St Petersburg, FL 33703-3425 | 2014-01-10 |
| 1366712812 | Avow Care Services Incorporated | Internal Medicine | 1205 Whippoorwill Ln, Naples, FL 34105-5028 | 2011-12-30 |
| 1982998779 | Brittney Lee Katsoff | Internal Medicine | 5430 Nw33rd Avenue, Suite 106, Fort Lauderdale, FL 33309 | 2011-06-08 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 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.