Medsouth Home Health L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDSOUTH HOME HEALTH L.L.C.

Practice address

201 J Harvey Etheridge St
Bonifay, FL 32425-2106

Phone

(850) 547-5549

Fax

(850) 547-5458

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By 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

Mrs. Dianne H. White

Title

Managing Partner

Phone

(850) 547-5549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730118977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 J HARVEY ETHRIDGE ST",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324252106",
            "telephone_number": "850-547-5549",
            "fax_number": "850-547-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 J HARVEY ETHERIDGE ST",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324252106",
            "telephone_number": "850-547-5549",
            "fax_number": "850-547-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOUTH HOME HEALTH L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "850-547-5549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Martin, LPN
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• Ruby J McKay
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• Mary Elizabeth Miller, LMHC
• Mohammad Yunus MD PA
• Mohammad Yunus MD PA
• Richard James Moore, D.O.
• Hannah Moran

• Home Health Agency in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.