MID-SOUTH HOME CARE SERVICES, LLC (NPI# 1679195028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679195028 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH HOME CARE SERVICES, LLC |
| Practice Address |
4776 New Broad St Ste 150 Orlando FL 32814-6407 |
| Mailing Address |
655 Brawley School Rd Ste 200 Mooresville NC 28117-9601 |
| Practice Telephone | 4077948382 |
| Practice Fax Number | 9138145923 |
| Mailing Telephone | 7046642876 |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | PATIENCE MCGEE (VP REGULATORY AND LICENSE SERVICES) |
| Authorized Official Telephone | 7046620416 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
4776 NEW BROAD ST STE 150 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32814-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979353 | Kristen R. Weick | Counselor | 1384 Lake Baldwin Ln, Suite B, Orlando, FL 32814 | 2018-07-26 |
| 1376822056 | Teresa Ann Baker | Audiologist | 1460 Lake Baldwin Ln Apt A, Orlando, FL 32814 | 2011-08-11 |
| 1811120843 | Carolina Teresa Diaz | Counselor | 4225 Fox St. Part 209, Orlando, FL 32814 | 2009-08-25 |
| 1639337231 | Physician Associates LLC | Family Medicine | 855 Outer Road, Physician Associates LLC, Orlando, FL 32814 | 2008-05-30 |
| 1598881369 | Yong Chen | Preventive Medicine | 2433 Lake Baldwin Lane, Orlando, FL 32814 | 2007-03-22 |
| 1285661660 | William Bruna Dunn Iv | Dentist | 950 Lake Baldwin Lane, Orlando, FL 32814 | 2006-06-28 |
| 1295776326 | Wanita Sue Patterson | Nurse Practitioner | 871 Outer Road Unit D, Orlando, FL 32814 | 2006-06-09 |
| 1780663252 | Juan J Herran | Internal Medicine | 1697 Lake Baldwin Ln, Orlando, FL 32814 | 2006-01-12 |
| 1275038085 | Kayla Marie Mannion | Behavior Technician | 907 Outer Rd Ste B, Orlando, FL 32814 | 2018-03-26 |
| 1891295127 | Tiffany Marie Rubio | Midwife | 867 Outer Rd Ste A, Orlando, FL 32814 | 2018-02-13 |
| Find all providers in zip 32814 | ||||
| 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 |
|---|---|---|---|---|
| 1487020178 | Adventist Health Systems Sunbelt Inc | Internal Medicine | 2501 N Orange Ave, Suite 235, Orlando, FL 32804-4603 | 2015-08-17 |
| 1316280662 | Molly Burges | Internal Medicine | 52 W Underwood St, Orlando, FL 32806-1110 | 2013-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156210 | Mid-south Home Care Services, LLC | Internal Medicine | 6161 Blue Lagoon Dr Ste 170&200, Miami, FL 33126-2057 | 2020-02-18 |
| 1003464561 | Matrix Md Corp | Internal Medicine | 987 Sw 37th Ave Apt 1011, Miami, FL 33135-4294 | 2019-08-28 |
| 1306351275 | Mid-south Home Care Services, LLC | Internal Medicine | 5111 N 12th Ave Ste B, Pensacola, FL 32504-8918 | 2017-12-13 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1730509670 | Jessica Elisabeth Eichler | Internal Medicine | 277 Nw 12th St, Boca Raton, FL 33432-2655 | 2014-04-18 |
| 1508284969 | Alison Jane Burt | Internal Medicine | 12901 Bruce B Downs Blvd # 19, Tampa, FL 33612 | 2014-04-02 |
| 1487076451 | Horizon Palliative Care Partners | Internal Medicine | 1961 Iowa Ave Ne, St Petersburg, FL 33703-3425 | 2014-01-10 |
| 1366712812 | Avow Care Services Incorporated | Internal Medicine | 1205 Whippoorwill Ln, Naples, FL 34105-5028 | 2011-12-30 |
| 1982998779 | Brittney Lee Katsoff | Internal Medicine | 5430 Nw33rd Avenue, Suite 106, Fort Lauderdale, FL 33309 | 2011-06-08 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 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.