SOUTHERN HOME CARE SERVICES (NPI# 1063530897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063530897 |
Entity Type | Organization |
Organization Name | SOUTHERN HOME CARE SERVICES |
Other Organization Name | ALL WAYS CARING HOMECARE |
Practice Address |
111 Pelham Commons Blvd Greenville SC 29615-4974 |
Mailing Address |
805 N Whittington Pkwy Louisville KY 40222-5186 |
Practice Telephone | 8642355141 |
Mailing Telephone | 8008660860 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-03-04 |
Authorized Official Name | ANGIE MATTINGLY (MANAGER-PROVIDER ENROLLMENT) |
Authorized Official Telephone | 5026307425 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251J00000X | Nursing Care | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | EXG040 | 05 |
Other Name | Type Code |
---|---|
All Ways Caring HomeCare | Doing Business As Name - Organization |
Health Force - Southern Home Care Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780790022 | Southern Home Care Services | Home Health | 1700 E Park Ave, Valdosta, GA 31602-3400 | 2006-08-21 |
1275506339 | Southern Home Care Services | Home Health | 220 Richland Ave W, Aiken, SC 29801-3866 | 2006-02-09 |
1043454432 | Southern Home Care Services | Community/Behavioral Health | 400 Peacock St, Ahoskie, NC 27910-3930 | 2009-04-29 |
1477754208 | Southern Home Care Services | Home Health | 901 S Mo Pac Expy, Austin, TX 78746-5776 | 2007-05-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | SOUTHERN HOME CARE SERVICES INC. | 805 N Whittington Pkwy, Louisville, Kentucky 40222 |
Ohio Business Entities | SOUTHERN HOME CARE SERVICES, INC | 9901 Linn Station Road, Louisville, KY 40223 |
Oregon Corporations, Companies and Business Names | SOUTHERN HOME CARE SERVICES, INC. | 805 N Whittington Parkway Suite 400, Louisville, KY 40222 |
Iowa Business Entities | SOUTHERN HOME CARE SERVICES, INC. | 9901 Linn Station Rd, Louisville, KY 40223 |
Connecticut Business Registrations | SOUTHERN HOME CARE SERVICES, INC. | 9901 Linn Station Road, Louisville, KY 40223 |
Washington State Corporations | SOUTHERN HOME CARE SERVICES, INC. | 9901 Linn Station Rd, Louisville, KY 40223 |
Street Address |
111 PELHAM COMMONS BLVD |
City | GREENVILLE |
State | SC |
Zip Code | 29615-4974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
Taxonomy Code | 251J00000X |
Grouping | Agencies |
Classification | Nursing Care |
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427659960 | Ruby Donald Residential Care LLC | Nursing Care | 2 Ruby Donald Place, Greenville, SC 29617 | 2020-11-02 |
1235739160 | Sherman Residential Care | Nursing Care | 20 Mayfield St, Greenville, SC 29601-1815 | 2020-10-29 |
1053834382 | Hssc Homecare | Nursing Care | 25 Woods Lake Rd Ste 408, Greenville, SC 29607-2763 | 2017-07-19 |
1477907327 | Advance Nursing Corp | Nursing Care | 1326 Miller Rd, Greenville, SC 29607-5710 | 2016-04-18 |
1134465958 | Grove Medical Inc | Nursing Care | 1089 Park West Blvd, Greenville, SC 29611-6124 | 2012-12-26 |
1750606976 | East Carolina Outreach,inc | Nursing Care | 1528 Evans St Ste C3, Greenville, NC 27834-5312 | 2010-03-30 |
1740424548 | Heavenly Care Services Inc. | Nursing Care | 1435 Augusta St, Greenville, SC 29605-4027 | 2009-04-23 |
1386811818 | Agape Nursing Services, Inc. | Nursing Care | 3195 E Tenth St, Suite E, Greenville, NC 27858-4276 | 2008-05-14 |
1114110293 | Dovetree Medical Staffing of Columbia, Inc | Nursing Care | 1200 Woodruff Rd Ste G6, Greenville, SC 29607-5734 | 2007-08-22 |
1033328851 | Visiting Professionals, Inc. | Nursing Care | 20 Roper Corners Circle, Suite B, Greenville, SC 29615-4833 | 2007-05-21 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29615 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.