Mid-South Area Residential Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MID-SOUTH AREA RESIDENTIAL SERVICES

Practice address

5830 Mount Moriah Rd Ste 22
Memphis, TN 38115-1628

Phone

(901) 363-6273

Fax

(901) 363-6168

NPI assigned

Aug 18, 2010

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Trenton Matthews

Title

Ceo

Phone

(901) 833-1298

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1174838882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD STE 22",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151628",
            "telephone_number": "901-363-6273",
            "fax_number": "901-363-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD STE 22",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151628",
            "telephone_number": "901-363-6273",
            "fax_number": "901-363-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH AREA RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-833-1298",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid South Residential Care Center
• Mid South Senior Care, LLC (Mid-South Senior Care)
• Mid South Supportive Living, LLC
• Mid South Vascular Clinic
• Mid-South ABA Therapy
• Mid-South Cardiovascular Center, LLC
• Mid-South Education and Behavior Solutions, LLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Gastroenterology Group, Inc.

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.