NPIMap

Mid-South Home Care Services LLC

A Medicare group practice based in Fairfax, VA: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 4385961093), with 175 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385961093The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL, DC, FL, GA, IN, MD, MO, MS, OH, PA, SC, TN, VA, WI
Enrollments
14
Group size
101 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 19 places

Enrollment records 14

Enrollment IDStateProvider typeNPI
O20171031002020 AL Part B Supplier - Clinic/Group Practice 1922535400
O20240514002061 DC Part B Supplier - Clinic/Group Practice 1326829821
O20250228001539 MO Part B Supplier - Clinic/Group Practice 1275314783
O20231113000686 SC Part B Supplier - Clinic/Group Practice 1033990544
O20231102002548 WI Part B Supplier - Clinic/Group Practice 1710768213
O20231107000714 PA Part B Supplier - Clinic/Group Practice 1467233734
O20231108000420 MD Part B Supplier - Clinic/Group Practice 1992586408
O20230929000421 IN Part B Supplier - Clinic/Group Practice 1699463299
O20230614002849 MS Part B Supplier - Clinic/Group Practice 1346935129
O20230323001347 OH Part B Supplier - Clinic/Group Practice 1881391597
O20251110001755 GA Part B Supplier - Clinic/Group Practice 1154207769
O20250418001478 VA Part B Supplier - Clinic/Group Practice 1326829821
O20180724001238 TN Part B Supplier - Clinic/Group Practice 1770085573
O20200507001077 FL Part B Supplier - Clinic/Group Practice 1174156210

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 175

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Clinicians who reassign their Medicare benefits to this group (172) or whom Care Compare lists as members (101).

Sources for this page