Active NPI
Mid-South Home Care Services, LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Liberty Lake, WA
National Provider Identifier
1669975280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- MID-SOUTH HOME CARE SERVICES, LLC
- Practice address
- 1326 N Whitman LN Ste a
Liberty Lake, WA 99019-7594 - Phone
- (509) 755-4971
- Fax
- (509) 755-4972
- NPI assigned
- Mar 9, 2018
- Organization subpart
- No
NPPES NPI Registry
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
- (704) 662-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
1326 N Whitman LN Ste a
Liberty Lake, WA 99019-7594
Mailing address
PO Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other practice location 1
22820 E Appleway Ave Ste C
Liberty Lake, WA 99019-9514
Phone (509) 755-4971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104970 | Medicaid | WA |
Other names 1
- Empatia Palliative Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1326 N Whitman Ln
Ste A
Liberty Lake, WA 99019
Phone (509) 755-4971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1669975280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4060",
"address_2": "ATTN: REGULATORY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174060",
"telephone_number": "704-664-2876",
"fax_number": "704-664-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 N WHITMAN LN STE A",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990197594",
"telephone_number": "509-755-4971",
"fax_number": "509-755-4972"
}
],
"practiceLocations": [
{
"address_1": "22820 E Appleway Ave Ste C",
"address_purpose": "LOCATION",
"city": "Liberty Lake",
"state": "WA",
"postal_code": "990199514",
"country_code": "US",
"telephone_number": "509-755-4971",
"fax_number": "509-755-4972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MID-SOUTH HOME CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-09",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "VP OF LICENSURE",
"authorized_official_telephone_number": "704-662-1761"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104970",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Empatia Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Liberty Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.