Organization
MID-SOUTH HOME CARE SERVICES, INC.
Active
Parent organization
GENTIVA HEALTH SERVICES, INC.
Other names
Mid-South Respiratory Services & HME
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTIVA HEALTH SERVICES, INC.
Authorized official
MS. RUTH C. SCHWARTZ (ASSISTANT SECRETARY)
(913) 814-2228
Entity
Organization
Contact information
Practice address
2511 FAIRLANE DR, SUITE C-100, MONTGOMERY, AL 36116-1607
(334) 832-4523
Mailing address
12900 FOSTER ST, SUITE 400, OVERLAND PARK, KS 66213-2649
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-02175
G2
AL
Enumeration date
06/18/2006
Last updated
06/21/2018
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