MID-SOUTH HOME CARE SERVICES, LLC (NPI# 1407361371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407361371 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HOME CARE SERVICES, LLC |
| Other Organization Name | KINDRED PALLIATIVE CARE |
| Practice Address |
2800 Dauphin St Ste 103 Mobile AL 36606-2400 |
| Mailing Address |
Po Box 4060 Attn: Regulatory Mooresville NC 28117-4060 |
| Practice Telephone | 2514789900 |
| Mailing Telephone | 7046642876 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | JESSICA KLEBERG (SVP & CHIEF OPEATIONS COUNSEL KAH) |
| Authorized Official Telephone | 7046642876 |
| 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 |
|---|---|
| Kindred 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 |
| 1306351275 | Mid-south Home Care Services, LLC | Internal Medicine | 5111 N 12th Ave Ste B, Pensacola, FL 32504-8918 | 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 |
2800 DAUPHIN ST STE 103 |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| 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 |
|---|---|---|---|---|
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1790115756 | Aseracare Hospice - Jackson LLC | Internal Medicine | 1201 Montlimar Dr, Ste 100, Mobile, AL 36609-1704 | 2013-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093238248 | Hospice Advantage Midco, LLC | Internal Medicine | 665 Opelika Rd Ste 200, Auburn, AL 36830-4086 | 2017-07-19 |
| 1922535400 | Mid-south Home Care Services, LLC | Internal Medicine | 2740 Headland Ave, Dothan, AL 36303-1236 | 2017-05-16 |
| 1619326857 | West Alabama Palliative Care Service LLC | Internal Medicine | 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 | 2016-06-08 |
| 1114338597 | Medical Associates of Birmingham, PC | Internal Medicine | 3800 Ridgeway Dr, Birmingham, AL 35209-5506 | 2014-05-19 |
| 1245587187 | Huntsville Hospital Palliative Care Services | Internal Medicine | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2012-08-09 |
| 1972860856 | Palliative Care Partners, Inc. | Internal Medicine | 240 Johnston St Se, Decatur, AL 35601-2516 | 2012-04-18 |
| 1073589388 | Susan Iskandrian Buckingham | Internal Medicine | 1400 6th Ave S, Birmingham, AL 35233 | 2006-02-27 |
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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.