MID-SOUTH HOME HEALTH, LLC (NPI# 1376572081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376572081 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HOME HEALTH, LLC |
| Other Organization Name | KINDRED AT HOME |
| Practice Address |
20 Almon Dr Suite C Moulton AL 35650-1451 |
| Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
| Practice Telephone | 2569742741 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MS. RUTH C. SCHWARTZ (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9138142288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MID7071A | 05 | |
| G2 | 51043591 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366693368 | Mid-south Home Health, LLC | Home Health | 614 Martin St N, Pell City, AL 35125-1325 | 2008-10-08 |
| 1457502452 | Mid-south Home Health, LLC | Home Health | 824 Western America Dr, Mobile, AL 36609-4100 | 2008-10-08 |
| 1093966095 | Mid-south Home Health, LLC | Home Health | 1458 Jones Dairy Rd Ste 100, Jasper, AL 35501-6111 | 2008-10-08 |
| 1558392795 | Mid-south Home Health, LLC | Home Health | 200 Central Park Pl, Selma, AL 36701-7735 | 2006-07-05 |
| 1013946722 | Mid-south Home Health, LLC | Home Health | 11123 Chantilly Parkway, Unit L, Pike Road, AL 36064-2881 | 2006-07-03 |
| 1497784326 | Mid-south Home Health, LLC | Home Health | 9037 Independence Ave, Suite B, Daphne, AL 36526-7694 | 2006-07-02 |
| 1952345233 | Mid-south Home Health, LLC | Home Health | 7067 Old Madison Pike Nw Ste 105, Huntsville, AL 35806-2177 | 2006-06-16 |
| 1962459438 | Mid-south Home Health, LLC | Home Health | 2100 Riverchase Ctr Ste 450, Hoover, AL 35244-1897 | 2006-05-28 |
| 1801292081 | Mid-south Home Health, LLC | Chore Provider | 5050 Poplar Ave, Suite #2404, Memphis, TN 38157-0101 | 2014-11-14 |
| 1285885285 | Mid-south Home Health, LLC | Home Health | 1015 1st St Sw, Ste A, Cullman, AL 35055-4201 | 2008-10-08 |
| Street Address |
20 ALMON DR SUITE C |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346682259 | Southern Hospitality Home & Health Care, Inc. | Home Health | 757 Lawrence St, Moulton, AL 35650-1636 | 2013-07-19 |
| 1649350208 | State of Alabama Department of Public Health | Home Health | 13299 Al Highway 157, Moulton, AL 35650-3706 | 2006-10-17 |
| 1972616258 | Amedisys Home Health, A Lawrence Medical Center Partner, LLC | Home Health | 15190 Court St, Suite B, Moulton, AL 35650-1427 | 2006-08-17 |
| 1386713659 | State of Alabama Department of Public Health | Home Health | 13299 Al Highway 157, Moulton, AL 35650-3706 | 2006-11-08 |
| 1528137866 | State of Alabama Department of Public Health | Home Health | 13299 Al Highway 157, Moulton, AL 35650-3706 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518216 | Acaf of East Alabama, LLC | Home Health | 2056 Cherokee Road, Alexander City, AL 35010 | 2020-11-04 |
| 1578163143 | Leisha Jenkins Henry | Home Health | 6722 Van Buren St # Condo3, Daphne, AL 36526-7584 | 2020-10-31 |
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1366058596 | Heart Warming Angels Homecare LLC | Home Health | 1716 Patterson St Nw, Huntsville, AL 35816-1628 | 2020-09-22 |
| 1801402318 | Merida Care LLC | Home Health | 3943 Richard Arrington Jr Blvd N, Birmingham, AL 35234-2453 | 2020-09-20 |
| 1851906036 | Loving Care Home Health LLC | Home Health | 1715 7th Ave N, Bessemer, AL 35020-4856 | 2020-09-14 |
| 1679186001 | Silvannia Waters | Home Health | 1909 Montgomery Hwy Ste 310, Dothan, AL 36303-3299 | 2020-08-25 |
| 1740891910 | Jessica Celeste Ealey | Home Health | 271 Watson Bridge Rd, Kinsey, AL 36303-7629 | 2020-08-12 |
| 1932718236 | Linda Beck | Home Health | 3205 Lloyds Ln Apt F5, Mobile, AL 36693-3817 | 2020-07-23 |
| 1669090809 | Takita Green | Home Health | 323 Olympia Dr, Homewood, AL 35209-3743 | 2020-07-13 |
| 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.