Midsouth Essential Shared Group Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIDSOUTH ESSENTIAL SHARED GROUP LIVING

Practice address

610 N. Missour St.
West Memphis, AR 72364-5007

Phone

(870) 301-2022

Fax

(901) 441-5885

NPI assigned

May 25, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scarlett Hunter

Title

Owner/Administrator

Phone

(901) 574-8207

Specialties & licenses 2

Addresses

Other names 1

• Midsouth Essential Shared Group Living Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1053003111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N. MISSOUR ST.",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72364",
            "telephone_number": "870-301-2022",
            "fax_number": "901-441-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N. MISSOUR ST.",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723645007",
            "telephone_number": "870-301-2022",
            "fax_number": "901-441-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH ESSENTIAL SHARED GROUP LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "SCARLETT",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "901-574-8207"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midsouth Essential Shared Group Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midsouth Essential Shared Group Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Meredith
• Jeanette Merritt
• Constance Mickens, PLMSW
• Mid South Health Care, PLLC
• Mid-South Foot & Ankle Clinic P C
• Antoinette Miller
• Daniel Seth Miller, LPTA
• Frederick Miller, MHPP
• James Lee Miller, MD
• Lashelll Marie Miller

• Home Health Agency in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.