NPIMap

Organization Active NPI

Mid South Home Care Services

Doing business as Kindred Palliative Care

  • Community Based Hospice Care Agency
  • Dublin, CA
National Provider Identifier
1922628262
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MID SOUTH HOME CARE SERVICES
Doing business as
Kindred Palliative Care
Practice address
4120 Dublin Blvd Ste 105
Dublin, CA 94568-7759
Phone
(925) 361-3170
Fax
(925) 361-3170
NPI assigned
Apr 16, 2020
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Janet Combs
Title
VP of Licenusre
Phone
(913) 814-2013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

4120 Dublin Blvd Ste 105
Dublin, CA 94568-7759

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876

Other names 1

  • Kindred Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid South Home Care SVC LLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1922628262",
    "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": "4120 DUBLIN BLVD STE 105",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687759",
            "telephone_number": "925-361-3170",
            "fax_number": "925-361-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SOUTH HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENUSRE",
        "authorized_official_telephone_number": "913-814-2013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.