SOUTHERN HOME CARE SERVICES, INC. (NPI# 1306460431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306460431 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE SERVICES, INC. |
| Practice Address |
1901 Pass Rd Ste C Biloxi MS 39531 |
| Mailing Address |
805 N Whittington Pkwy Louisville KY 40222-7101 |
| Practice Telephone | 5023942100 |
| Mailing Telephone | 5022942100 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5026307249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406804 | Southern Home Care Services, Inc. | Home Health | 102 S Green St, Swainsboro, GA 30401-3131 | 2020-10-29 |
| 1053928812 | Southern Home Care Services, Inc. | In Home Supportive Care | 205-207 Lexington Street, Versailles, KY 40383-1231 | 2020-09-25 |
| 1497391783 | Southern Home Care Services, Inc. | Home Health | 1003 Bellevue Ave, Dublin, GA 31021-4851 | 2019-11-21 |
| 1528604857 | Southern Home Care Services, Inc. | Home Health | 105 Preston Ct Ste B, Macon, GA 31210-5769 | 2019-11-21 |
| 1487290797 | Southern Home Care Services, Inc. | Home Health | 11 S Roundtree Street, Metter, GA 30439-4416 | 2019-11-21 |
| 1518503903 | Southern Home Care Services, Inc. | Home Health | 5771 Veterans Pkwy Ste E, Columbus, GA 31904-9084 | 2019-11-21 |
| 1184260499 | Southern Home Care Services, Inc. | Home Health | 11 South Roundtree Street, Metter, GA 30439-4416 | 2019-11-21 |
| 1316583610 | Southern Home Care Services, Inc. | Home Health | 915 Interstate Ridge Dr Ste A, Gainesville, GA 30501-7076 | 2019-11-21 |
| 1588200059 | Southern Home Care Services, Inc. | Home Health | 2318 N Patterson St, Valdosta, GA 31602-2511 | 2019-11-20 |
| 1902442486 | Southern Home Care Services, Inc. | Home Health | 906 Commerce St Unit A, Perry, GA 31069-3380 | 2019-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
1901 PASS RD STE C |
| City | BILOXI |
| State | MS |
| Zip Code | 39531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| 1790109080 | Richard Dymond Jr. | Physical Therapist | 2781 Ct Switzer Rd., Biloxi, MS 39531 | 2014-02-07 |
| Find all providers in zip 39531 | ||||
| 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 |
|---|---|---|---|---|
| 1548813272 | Roderick Joseph Shanks Sr. | In Home Supportive Care | 1636 N Popps Ferry Rd # A2 & A4, Biloxi, MS 39532-2217 | 2019-07-22 |
| 1184168932 | Precious Care/llc | In Home Supportive Care | 904 Camp Four Jacks Rd, Biloxi, MS 39532-2000 | 2016-12-13 |
| 1720459639 | Uplift Home Care LLC | In Home Supportive Care | 14946 E Shadow Creek Dr, Biloxi, MS 39532-8580 | 2015-10-19 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1669917191 | Tender Hearts Homecare | In Home Supportive Care | 2436 Beach Blvd, #a8, Biloxi, MS 39531-4910 | 2016-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659168 | Linda Summerville | In Home Supportive Care | 1204 W Claiborne Ave, Greenwood, MS 38930-2806 | 2020-11-07 |
| 1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1518572775 | Healing Innovations LLC | In Home Supportive Care | 2006 Pumping Station Rd, Osyka, MS 39657-7325 | 2020-09-14 |
| 1598379323 | Home Care of Mississippi, LLC | In Home Supportive Care | 428 N Lamar Blvd Ste 114, Oxford, MS 38655-3221 | 2020-08-31 |
| 1619589249 | Amedeo Home Care Services | In Home Supportive Care | 3111 Washington St, Vicksburg, MS 39180-4968 | 2020-08-17 |
| 1336759018 | Kingdom House LLC | In Home Supportive Care | 309 E Bay St, Magnolia, MS 39652-2815 | 2020-08-06 |
| 1174132476 | Divine Home Care Changes | In Home Supportive Care | 106 Ethel Dr, Vicksburg, MS 39180-8905 | 2020-07-23 |
| 1013534650 | Randolph's Devoted Home Care | In Home Supportive Care | 6901 Highway 305 N Ste F, Olive Branch, MS 38654-2317 | 2020-06-30 |
| 1558986190 | Eugene J Hoffman Iv | In Home Supportive Care | 305 Reese St, Bay Saint Louis, MS 39520-2823 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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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.