SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC (NPI# 1275991861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275991861 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC |
| Practice Address |
225 Physicians Park Suite 301 Poplar Bluff MO 63901-3935 |
| Practice Telephone | 5736862273 |
| Practice Fax Number | 5736864663 |
| Mailing Telephone | 5736862273 |
| Mailing Fax Number | 5736864663 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | KIMBERLY WILSON (OWNER/MEMBER) |
| Authorized Official Telephone | 5736862273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
225 PHYSICIANS PARK SUITE 301 |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965371 | Gilbert D Smith | Family Medicine | 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 | 2006-01-04 |
| 1376008334 | Zachary L Ferguson | Physician Assistant | 225 Physicians Park, Poplar Bluff, MO 63901-3935 | 2019-02-04 |
| 1316486202 | Vanessa Adams | Nurse Practitioner | 225 Physicians Park, Ste 203, Poplar Bluff, MO 63901-3935 | 2017-02-13 |
| 1134589625 | Ssm Neurosciences, Inc. | Neurological Surgery | 225 Physicians Park, Suite 102, Poplar Bluff, MO 63901-3935 | 2016-02-26 |
| 1215305941 | Christian Bowers | Nurse Practitioner | 225 Physicians Park, Suites 400 & 104, Poplar Bluff, MO 63901-3935 | 2015-09-11 |
| 1730586777 | Mark Gerard Smith | Physical Therapist | 225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956 | 2014-11-19 |
| 1689096919 | Saint Francis Medical Center | Internal Medicine | 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 | 2014-01-06 |
| 1386998318 | Black River Medical Group, LLC | Surgery | 225 Physicians Park, Suite 204, Poplar Bluff, MO 63901-3956 | 2012-10-29 |
| 1609157403 | Joyce A Barklow | Nurse Practitioner | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3956 | 2011-09-07 |
| 1265712780 | Amber Wheeler Richardson | Psychologist | 225 Physicians Park, Ste 300, Poplar Bluff, MO 63901-3930 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528303419 | Alliance In Home Care Services LLC | In Home Supportive Care | 1365 N Westwood Blvd, Poplar Bluff, MO 63901-3313 | 2012-12-03 |
| 1821326646 | Emmanuel House of Praise Outreach Ministries Inc. | In Home Supportive Care | 1504 N 14th St, Poplar Bluff, MO 63901-2921 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306732 | New Life In Home Services, LLC | In Home Supportive Care | 119 Church St Ste 220, Ferguson, MO 63135-2460 | 2020-11-06 |
| 1609477173 | Contrive Home Care Solutions LLC | In Home Supportive Care | 2839 Monroe Ave, Kansas City, MO 64128-1494 | 2020-11-02 |
| 1134729015 | Nurturing Family Home Healthcare LLC | In Home Supportive Care | 805 5th Plz, Florissant, MO 63031-1820 | 2020-10-29 |
| 1861092843 | Jerome Care, LLC | In Home Supportive Care | 517 Se 2nd St Ste B, Lees Summit, MO 64063-2629 | 2020-10-28 |
| 1073112868 | Kb Cds Health Services | In Home Supportive Care | 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 | 2020-10-22 |
| 1285233536 | Hoping Hands Homecare LLC | In Home Supportive Care | 5046 Ridge Ave, Saint Louis, MO 63113-1404 | 2020-10-19 |
| 1013516442 | So Awesome Health Services LLC | In Home Supportive Care | 1517 Galway Ct, Liberty, MO 64068-3392 | 2020-10-16 |
| 1790383024 | Angel Home Care LLC | In Home Supportive Care | 324 Se Canter Cir, Lees Summit, MO 64082-8218 | 2020-10-09 |
| 1326645946 | Life Enhancements Home Health Care, LLC | In Home Supportive Care | 119 Church St Ste 224, Ferguson, MO 63135-2442 | 2020-10-06 |
| 1437766821 | Altrua Personal Care LLC | In Home Supportive Care | 1906 Ne Knollbrook St, Lees Summit, MO 64086-3457 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.