Mid-South Health Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000252 Issued in TN

Legal business name

MID-SOUTH HEALTH SERVICES, LLC

Practice address

3030 Walnut Grove Rd
Memphis, TN 38111-3508

Phone

(901) 458-1146

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Jeff Cantrell

Title

Cfo

Phone

(423) 478-5953

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ashton Place Health & Rehab Center Doing business as

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1770684342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 CENTRAL AVE NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115541",
            "telephone_number": "423-478-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113508",
            "telephone_number": "901-458-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-478-5953"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440442",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445118",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashton Place Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid-South Education and Behavior Solutions, LLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Foot and Ankle Specialists, PLLC
• Mid-South Gastroenterology Group, Inc.
• Mid-South Geriatrics & Palliative Care PLLC
• Mid-South Healthnet
• Mid-South Home Health Services, LLC
• Mid-South Home Health, LLC
• Mid-South Infectious Disease Associates, PLLC
• Mid-South Maternal Fetal Medicine PC

• Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.