MID-SOUTH HOME CARE SERVICES, LLC (NPI# 1174559710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174559710 |
Entity Type | Organization |
Organization Name | MID-SOUTH HOME CARE SERVICES, LLC |
Other Organization Name | MID-SOUTH RESPIRATORY SERVICES & HME |
Practice Address |
2740 Headland Ave Dothan AL 36303-1236 |
Mailing Address |
12900 Foster St Suite 400 Overland Park KS 66213-2649 |
Practice Telephone | 3347923200 |
Enumeration Date | 2006-06-24 |
Last Update Date | 2018-06-21 |
Authorized Official Name | MS. RUTH C. SCHWARTZ (ASSISTANT SECRETARY) |
Authorized Official Telephone | 9138142282 |
Is Organization Subpart | Y |
Parent Organization Name | GENTIVA HEALTH SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | G2 | 515-21704 | 01 |
AL | 009909965 | 05 |
Other Name | Type Code |
---|---|
Mid-South Respiratory Services & HME | 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 |
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 |
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 |
2740 HEADLAND AVE |
City | DOTHAN |
State | AL |
Zip Code | 36303-1236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770519324 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
1922535400 | Mid-south Home Care Services, LLC | Internal Medicine | 2740 Headland Ave, Dothan, AL 36303-1236 | 2017-05-16 |
1346625894 | Jacquelyn Lyon Smith | Nurse Practitioner | 2740 Headland Ave, Dothan, AL 36303-1236 | 2015-07-27 |
1467489385 | Gentiva Certified Healthcare Corp. | Home Health | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
Find all providers in zip 36303 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255989307 | Wiregrass Medical Holdings LLC | Durable Medical Equipment & Medical Supplies | 566 W Carroll St Ste 3, Dothan, AL 36301-4376 | 2019-09-02 |
1568833192 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3871 W Main St, Dothan, AL 36305-9394 | 2015-10-08 |
1295144848 | Universal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 509 W Washington St, Dothan, AL 36301-2442 | 2014-08-07 |
1356695662 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 126 S Alice St, Suite 4, Dothan, AL 36301-1651 | 2012-11-08 |
1124376652 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 111 Adris Pl Ste 7, Dothan, AL 36303-2006 | 2012-08-15 |
1063704690 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 3525 Ross Clark Cir, Suite 100, Dothan, AL 36303-5933 | 2011-05-16 |
1053628826 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 4650 W Main St Ste 700, Dothan, AL 36305-9421 | 2010-09-01 |
1306151782 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3574 Montgomery Hwy, Dothan, AL 36303-2165 | 2010-08-10 |
1609104736 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2830 Horace Shepard Dr, Suite 2, Dothan, AL 36303-1007 | 2009-12-01 |
1508095852 | Cypress Therapeutic Footwear LLC | Durable Medical Equipment & Medical Supplies | 3818 Napier Field Rd Lot G714, Dothan, AL 36303-0932 | 2009-07-08 |
Find all providers in DOTHAN |
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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.