MID-SOUTH HOME CARE SERVICES, LLC (NPI# 1376988006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376988006 |
Entity Type | Organization |
Organization Name | MID-SOUTH HOME CARE SERVICES, LLC |
Other Organization Name | MEMORIAL-GENTIVA PALLIATIVE CARE PROGRAM |
Practice Address |
962 Tommy Munro Dr Suite E Biloxi MS 39532-2138 |
Mailing Address |
12900 Foster St Ste 400 Overland Park KS 66213-2696 |
Practice Telephone | 2283883978 |
Enumeration Date | 2013-05-08 |
Last Update Date | 2015-11-18 |
Authorized Official Name | RUTH C SCHWARTZ (ASSISTANT SECRETARY) |
Authorized Official Telephone | 9138142288 |
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 |
---|---|
Memorial-Gentiva Palliative Care Program | 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 |
1306351275 | Mid-south Home Care Services, LLC | Internal Medicine | 5111 N 12th Ave Ste B, Pensacola, FL 32504-8918 | 2017-12-13 |
1407361371 | Mid-south Home Care Services, LLC | Internal Medicine | 2800 Dauphin St Ste 103, Mobile, AL 36606-2400 | 2017-12-13 |
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 |
962 TOMMY MUNRO DR SUITE E |
City | BILOXI |
State | MS |
Zip Code | 39532-2138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780095885 | Gulf Coast Gynecology Clinic, Pllc | Obstetrics & Gynecology | 962 Tommy Munro Dr, Suite A., Biloxi, MS 39532-2138 | 2014-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
Find all providers in zip 39532 |
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 |
---|---|---|---|---|
1992224885 | Alliance Healthcare Hospice | Internal Medicine | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2017-09-12 |
1528242724 | John Keith Mansel | Internal Medicine | 2500 N State Street, Jackson, MS 39216-4500 | 2007-12-24 |
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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.