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NPI Code Detail

MEDICARE: MID-SOUTH HOME CARE SERVICES, LLC

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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1881391597
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-SOUTH HOME CARE SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 4060
Second Line : ATTN REGULATORY
City : MOORESVILLE
State : NC
Zip : 28117-4060
Country : US
Telephone Number : 704-664-2876
Fax Number :
Provider Business Practice Location Address
First Line : 1100 BEECHER XING N STE D-1
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-4565
Country : US
Telephone Number : 614-796-4446
Fax Number : 614-796-4447
Authorized Official
Title or Position : VP OF LICENSURE
Name : JANET COMBS
Credential :
Telephone Number : 704-662-1761
Provider Enumeration Date : 02/13/2023
Last Update Date : 03/09/2026

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

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