NPIMap

Organization Active NPI

Mid-South Home Care Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
National Provider Identifier
1215967344
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID-SOUTH HOME CARE SERVICES, INC.
Practice address
802 CCS St
Fort Walton Beach, FL 32547-3699
Phone
(913) 814-2800
NPI assigned
Jul 4, 2006
Organization subpart
Yes
Parent organization
GENTIVA HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Ruth Schwartz
Title
Director Licensure
Phone
(913) 814-2288

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

802 CCS St
Fort Walton Beach, FL 32547-3699

Mailing address

12900 Foster St
Suite 400
Overland Park, KS 66213-2649

Other names 1

  • Gentiva Respiratory Services & HME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid-South Home Care Services Inc17 organizations share this tax ID, including this one
Part of
Gentiva Health Services Inc

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1215967344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 FOSTER ST",
            "address_2": "SUITE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CCS ST",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473699",
            "telephone_number": "913-814-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HOME CARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTIVA HEALTH SERVICES, INC.",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR LICENSURE",
        "authorized_official_telephone_number": "913-814-2288"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva Respiratory Services & HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.