SOUTHERN HOSPITALITY HOME CARE LLC (NPI# 1215353867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215353867 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOSPITALITY HOME CARE LLC |
| Practice Address |
84 County Road 3771 Heidelberg MS 39439-5016 |
| Practice Telephone | 6015130359 |
| Mailing Telephone | 6015130359 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | MRS. BRENDA MOORE (OWNER) |
| Authorized Official Telephone | 6015130359 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | VETERAN AFFAIRS | 45244386 | 01 |
| Street Address |
84 COUNTY ROAD 3771 |
| City | HEIDELBERG |
| State | MS |
| Zip Code | 39439-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083074959 | Jfmc Heidelberg, LLC | Clinic/Center | 1208 Academy Dr, Heidelberg, MS 39439 | 2016-03-04 |
| 1295871259 | Joyce Denise Barker | Nurse Practitioner | 309 Pine Ave, Heidelberg, MS 39439 | 2007-01-29 |
| 1417046574 | Hattiesburg Clinic Pa | Family Medicine | 2013 North Pine, Heidelberg, MS 39439 | 2006-10-12 |
| 1255354304 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2005 North Pine Ave., Heidelberg, MS 39439 | 2006-07-26 |
| 1255521480 | Outreach Health Services,inc. | Health Maintenance Organization | 309 Pine Ave, Heidelberg, MS 39439 | 2007-07-25 |
| 1114577400 | Caldonia Livingston Satcher | Technician | 3840 Highway 528, Heidelberg, MS 39439-3370 | 2019-09-18 |
| 1346794120 | Family Home Care, LLC | Home Health | 309 Bay St, Heidelberg, MS 39439-3547 | 2016-08-09 |
| 1013328244 | Mississippi State Department of Health | Public Health or Welfare | 309 Bay Street, Heidelberg, MS 39439-3547 | 2014-05-09 |
| 1891204574 | Taylormade Heath Solutions LLC | Durable Medical Equipment & Medical Supplies | 306 Main Street, Heidelberg, MS 39439-3943 | 2017-09-25 |
| 1639532112 | A Touch of Heaven, LLC | Home Health | 227b County Road 371, Heidelberg, MS 39439-4991 | 2016-04-01 |
| Find all providers in zip 39439 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794120 | Family Home Care, LLC | Home Health | 309 Bay St, Heidelberg, MS 39439-3547 | 2016-08-09 |
| 1639532112 | A Touch of Heaven, LLC | Home Health | 227b County Road 371, Heidelberg, MS 39439-4991 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122733 | Blessing Hearts Private Duty Home Care LLC | Home Health | 105 N Cherry St, Tylertown, MS 39667-2308 | 2020-10-23 |
| 1568061406 | True Alliance Home Healthcare, LLC | Home Health | 6950 Dakota Cir S, Olive Branch, MS 38654-9064 | 2020-10-21 |
| 1043818925 | Home In The Heart Health Care Agency, LLC | Home Health | 5915 Brice Cv N, Olive Branch, MS 38654-3529 | 2020-10-13 |
| 1689271017 | Thompson Healthcare Services, LLC | Home Health | 208 Grace Dr, Flowood, MS 39232-5511 | 2020-10-08 |
| 1760089346 | Natasha Turner | Home Health | 224 Cedar St, Kosciusko, MS 39090-4504 | 2020-10-06 |
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023620887 | Porsche Ann Walley | Home Health | 5101 Orchard Ave Apt 91, Pascagoula, MS 39581-3907 | 2020-08-21 |
| 1750993358 | Tab, LLC | Home Health | 785 Creston Dr, Byram, MS 39272-3001 | 2020-08-17 |
| 1740891506 | Trucare Sitters LLC | Home Health | 908 Bickerstaff St, Tupelo, MS 38801-6802 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | HEIDELBERG |
| Zip Code | 39439 |
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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.