# MID-SOUTH HOME CARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gentiva Respiratory Services & HME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679518336
- **Authorized official:** JANET COMBS (VP OF LICENSURE)
- **Authorized official phone:** (913) 814-2013

## Contact information

- **Practice address:** 608 E. BALDWIN ROAD, PANAMA CITY, FL 32405-4208
- **Practice address phone:** (850) 769-4821
- **Mailing address:** 12900 FOSTER ST, SUITE 400, OVERLAND PARK, KS 66213-2649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 09/23/2022