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Mid-South Home Care Services, LLC

Organization Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Windsor Mill, MD

NPI 1992586408 · NPPES record last updated May 16, 2025

Key facts

NPI
1992586408
Entity type
Organization (NPI type 2)
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
Legal business name
MID-SOUTH HOME CARE SERVICES, LLC
Practice address
7001 Johnnycake Rd Ste 204a
Windsor Mill, MD 21244-2420
Phone
(704) 664-2876
NPI assigned
Oct 10, 2023
Organization subpart
No

Authorized official

Name
Janet L. Combs
Title
VP of Licensure
Phone
(704) 662-1761

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 107

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD, DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20231108000420 MD Part B Supplier - Clinic/Group Practice 4385961093 Receives reassigned benefits from 9 practitioners
Practice locations: Windsor Mill, MD
O20240514002061 DC Part B Supplier - Clinic/Group Practice 4385961093 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairfax, VA

National Provider Directory

Tax ID family
Mid South Home Care Services (23 organizations share this tax ID)

Locations

7001 Johnnycake Rd
Ste 204A
Windsor Mill, MD 21244
Phone (410) 202-0004

7001 Johnnycake Rd
Ste 204
Windsor Mill, MD 21244
Phone (410) 719-8670

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RH0002X Yes

Addresses

Primary practice location

7001 Johnnycake Rd Ste 204a
Windsor Mill, MD 21244-2420

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other names

  • Empatia Palliative Care Doing business as

Other providers in Windsor Mill, MD

All providers in Windsor Mill, MD · Hospice and Palliative Medicine (Internal Medicine) Physician in Maryland

Sources for this page

Verify at the official NPI Registry.