Mid-South Home Care Services, LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

MID-SOUTH HOME CARE SERVICES, LLC

Practice address

962 Tommy Munro Dr
Suite E
Biloxi, MS 39532-2138

Phone

(228) 388-3978

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Janet Combs

Title

VP of Licensure

Phone

(913) 814-2013

Specialties & licenses 1

Addresses

Other names 1

• Memorial-Gentiva Palliative Care Program Doing business as

Locations

Practitioners 1

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

• Joseph Richard Bosarge, M.D.

  • Pulmonary Disease Physician
  • Gulfport, MS
  • NPI 1760465058
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1376988006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 FOSTER ST STE 400",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 TOMMY MUNRO DR",
            "address_2": "SUITE E",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322138",
            "telephone_number": "228-388-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "913-814-2013"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial-Gentiva Palliative Care Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial-Gentiva Palliative Care Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Memorial Hospital at Gulfport
• Courtney Elizabeth Meredith, M.D.
• Metro Treatment of Mississippi LP
• Michael Diaz MD PC
• Shelia Denise Mickle, AGNP-C
• Lydia F Middlekauff, CTRS
• Mary Kay Mihelich, R.D.
• Jalexis Mikell
• Kanisha Mikell, PMHNP-BC
• Danielle Millan, ATC, LAT, CSCS, CES

• All providers in Biloxi, MS
• Hospice and Palliative Medicine (Internal Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.