NPIMap

Organization Active NPI

Mid-South Home Care Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pensacola, FL
National Provider Identifier
1477568905
Registry record updated May 29, 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
4400 Bayou Blvd Ste 19
Pensacola, FL 32503-1908
Phone
(850) 484-4370
NPI assigned
Jul 31, 2006
Organization subpart
Yes
Parent organization
GENTIVA HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Ms. Ruth C. Schwartz
Title
Assistant Secretary
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

4400 Bayou Blvd Ste 19
Pensacola, FL 32503-1908

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
031986400MedicaidFL

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

Locations

4400 Bayou Blvd
Ste 19
Pensacola, FL 32503
Phone (850) 484-4370

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1477568905",
    "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": "4400 BAYOU BLVD STE 19",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031908",
            "telephone_number": "850-484-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HOME CARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENTIVA HEALTH SERVICES, INC.",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "913-814-2288",
        "authorized_official_name_prefix": "Ms."
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031986400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva Respiratory Services & HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.