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

Doing business as

Kindred Palliative Care

Practice address

1800 W Mason St Ste a
Green Bay, WI 54303-2333

Phone

(920) 471-4761

Fax

(920) 471-4762

NPI assigned

Apr 2, 2020

Last updated

Sep 23, 2022By the provider in NPPES

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 2

Addresses

Other names 1

• Kindred Palliative Care Doing business as

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1720617806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179601",
            "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": "1800 W MASON ST STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032333",
            "telephone_number": "920-471-4761",
            "fax_number": "920-471-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Michaelchuck
• Anthony Peter Michalski
• Lawrence E Michalski, RPH
• Erin Michelfelder
• Amber Micolichek, CPM, LM
• Midwest Audiology & Hearing Center Green Bay, LLC
• Midwest Home Health Care
• Gabriel Mihailescu, MD
• Mihail Mihailescu, PHARMACIST
• Kallianne Nicole Mikesch, PA-C

• Hospice and Palliative Medicine (Internal Medicine) Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Wisconsin

• 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.