Organization · Type 2 NPI

Midsouth Essential Shared Group Living

Home Health Agency · West Memphis, AR

NPI number 1053003111 Active

Practice location

610 N. Missour St.
West Memphis, AR 72364-5007

Call (870) 301-2022 Map

Fax (901) 441-5885

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
Home Health Aide	374U00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1053003111
Entity type: Organization (Type 2)
Issued: May 25, 2023
Last updated: Jun 2, 2023
Status: Active

Other names

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Midsouth Essential Shared Group Living · doing business as
Midsouth Essential Shared Group Living · doing business as

Authorized official

Scarlett Hunter
Owner/administrator
(901) 574-8207

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053003111

Midsouth Essential Shared Group Living's National Provider Identifier is 1053003111, issued on May 25, 2023. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in West Memphis, AR. The record was last updated on Jun 2, 2023.