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Mid-South Home Care Services, LLC

Organization Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Tupelo, MS

NPI 1346935129 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1346935129
Entity type
Organization (NPI type 2)
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
Legal business name
MID-SOUTH HOME CARE SERVICES, LLC
Practice address
144 S Thomas St Ste 202
Tupelo, MS 38801-5337
Phone
(662) 269-4453
Fax
(662) 553-4018
NPI assigned
Apr 7, 2023
Organization subpart
No

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 109

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230614002849 MS Part B Supplier - Clinic/Group Practice 4385961093 Receives reassigned benefits from 17 practitioners
Practice locations: Tupelo, MS

National Provider Directory

Tax ID family
Mid South Home Care Services (23 organizations share this tax ID)

Locations

144 S Thomas St
Ste 202
Tupelo, MS 38801
Phone (662) 269-4453

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RH0002X Yes

Addresses

Primary practice location

144 S Thomas St Ste 202
Tupelo, MS 38801-5337

Mailing address

PO Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other names

  • Empatia Palliative Care Doing business as

Other providers in Tupelo, MS

All providers in Tupelo, MS · Hospice and Palliative Medicine (Internal Medicine) Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.