MEDICARE: MID-SOUTH HOME CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1679195028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID-SOUTH HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	655 BRAWLEY SCHOOL RD STE 200
Second Line	:
City	:	MOORESVILLE
State	:	NC
Zip	:	28117-9601
Country	:	US
Telephone Number	:	704-664-2876
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 S DILLARD ST STE A
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3912
Country	:	US
Telephone Number	:	407-794-8382
Fax Number	:	407-412-7575

Authorized Official
Title or Position	:	VP OF LICENUSRE
Name	:	JANET COMBS
Credential	:
Telephone Number	:	704-662-1761

Provider Enumeration Date	:	05/08/2020
Last Update Date	:	05/16/2025

Similar Medicare Providers

1336928423 — JAMIE ROWE APRN
Practice Location Address:

950 S DILLARD ST STE A
WINTER GARDEN, FL
34787-3912

Practice Phone: 352-816-2600
Practice Fax:

1962085076 — TIFFANY JEAN THOMAS
Practice Location Address:

950 S DILLARD ST
WINTER GARDEN, FL
34787-3912

Practice Phone: 407-514-1300
Practice Fax:

1821509613 — SUDEE HOME CARE, LLC.
Practice Location Address:

821 GARDEN ST
BRISTOL, PA
19007-3912

Practice Phone: 267-579-7421
Practice Fax: 267-579-7421

1740488873 — CYNTHIA M COCHRAN LCSW
Practice Location Address:

1107 3RD ST SW STE 9
WINTER HAVEN, FL
33880-3912

Practice Phone: 863-292-6089
Practice Fax:

1801496104 — KIDNEY CARE CENTER OF WINTER HAVEN LLC
Practice Location Address:

1107 3RD ST SW STE 9
WINTER HAVEN, FL
33880-3912

Practice Phone: 305-448-6261
Practice Fax:

1114880945 — ROSANGELA DE LUCA GONCALO FERNANDES
Practice Location Address:

15333 HONEYBELL DR
WINTER GARDEN, FL
34787-5061

Practice Phone: 407-922-8397
Practice Fax:

Directions to “MID-SOUTH HOME CARE SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.