MID-SOUTH HOME CARE SERVICES, INC. (NPI# 1477568905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477568905 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HOME CARE SERVICES, INC. |
| Other Organization Name | GENTIVA RESPIRATORY SERVICES & HME |
| Practice Address |
4400 Bayou Blvd Ste 19 Pensacola FL 32503-1908 |
| Mailing Address |
12900 Foster St Suite 400 Overland Park KS 66213-2649 |
| Practice Telephone | 8504844370 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MS. RUTH C. SCHWARTZ (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 9138142288 |
| 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 |
|---|---|---|---|
| FL | 031986400 | 05 |
| Other Name | Type Code |
|---|---|
| Gentiva Respiratory Services & HME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285865840 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 1328 Greenbrier Rd, Suite A & B, Anniston, AL 36207-6702 | 2009-07-30 |
| 1376575894 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 3225 Rainbow Dr, Suite 256, Rainbow City, AL 35906-5857 | 2006-07-07 |
| 1215967344 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 802 Ccs St, Fort Walton Beach, FL 32547-3699 | 2006-07-04 |
| 1043240179 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 2217 Spring Ave Sw, Decatur, AL 35601-5719 | 2006-07-04 |
| 1780611699 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 4374 Lafayette St, Marianna, FL 32446-3356 | 2006-06-27 |
| 1811924897 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 2200 Riverchase Center Dr, Bldg 700, Suite 700, Birmingham, AL 35244-2866 | 2006-06-27 |
| 1619903085 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 1218 S Brundidge St, Troy, AL 36081-3125 | 2006-06-25 |
| 1609811363 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 307 Veterans Dr, Florence, AL 35630-5741 | 2006-06-18 |
| 1851336473 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 2511 Fairlane Dr, Suite C-100, Montgomery, AL 36116-1607 | 2006-06-18 |
| 1073545513 | Mid-south Home Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 301 N Walston Bridge Rd, Jasper, AL 35504-8648 | 2006-07-07 |
| Street Address |
4400 BAYOU BLVD STE 19 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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. |
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|---|---|---|---|---|
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1013527274 | Lasting Mpressions Salon and Spa | Durable Medical Equipment & Medical Supplies | 312 E Nine Mile Rd Ste 17, Pensacola, FL 32514-1475 | 2020-08-03 |
| 1588299317 | Premier Kids Care, Inc. | Durable Medical Equipment & Medical Supplies | 312 N New Warrington Rd Ste 4b, Pensacola, FL 32506-5855 | 2020-03-12 |
| 1750924981 | Lovell Government Services, LLC | Durable Medical Equipment & Medical Supplies | 223 W Gregory St, Pensacola, FL 32502-4821 | 2019-10-21 |
| 1184280836 | Team Adaptive Inc | Durable Medical Equipment & Medical Supplies | 3618 N Pace Blvd, Pensacola, FL 32505-4240 | 2019-05-17 |
| 1821598731 | Back To Normal, LLC | Durable Medical Equipment & Medical Supplies | 217 E Intendencia St, Pensacola, FL 32502-6022 | 2018-02-16 |
| 1619488723 | Pure Home Systems LLC | Durable Medical Equipment & Medical Supplies | 5700 N Davis Hwy Ste 7, Pensacola, FL 32503-2057 | 2017-10-16 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1013466440 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1100 E Cervantes St, Pensacola, FL 32501-3332 | 2016-09-27 |
| 1427404508 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 3936 N Davis Hwy Ste C, Pensacola, FL 32503-2746 | 2016-05-09 |
| Find all providers in PENSACOLA | ||||
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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.