SOUTHCARE MEDICAL & HOMECARE SERVICE (NPI# 1366764185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366764185 |
| Entity Type | Organization |
| Organization Name | SOUTHCARE MEDICAL & HOMECARE SERVICE |
| Practice Address |
1150 Industrial Dr Suite 142 Vienna GA 31092-1333 |
| Practice Telephone | 4045524361 |
| Practice Fax Number | 2298883558 |
| Mailing Telephone | 4045524361 |
| Mailing Fax Number | 2298883558 |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-02-21 |
| Authorized Official Name | MR. GEORGE ECHEBELEM (OPERATING MANAGER) |
| Authorized Official Telephone | 4045524361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 046-R-0644 | GA | Agencies |
| Street Address |
1150 INDUSTRIAL DR SUITE 142 |
| City | VIENNA |
| State | GA |
| Zip Code | 31092-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184076 | Dooly County Board of Health | Public Health or Welfare | 204 W Union St, Vienna, GA 31092-1056 | 2006-06-17 |
| 1225222359 | Rebecca Taylor Willingham | Speech-Language Pathologist | 204 W Union St, Vienna, GA 31092-1056 | 2007-08-31 |
| 1164860276 | Winiferd Merrell | Registered Nurse | 522 Harden St, Vienna, GA 31092-1072 | 2013-06-11 |
| 1154401768 | Dooly County Commissioner of Roads and Revenues | Ambulance | 209 W Union St, Vienna, GA 31092-1094 | 2006-10-17 |
| 1174651541 | Forbes Drug Inc | Pharmacy | 101 S 3rd St, Vienna, GA 31092-1511 | 2007-02-28 |
| 1144594284 | Frnklin Forbes Morgan Jr. | Pharmacist | 101 S 3rd St, Vienna, GA 31092-1511 | 2012-03-07 |
| 1861520199 | Stephen L Morgan Sr. | Pharmacist | 101 S 3rd St, Vienna, GA 31092-1511 | 2007-02-28 |
| 1497311401 | Rosa L Borden | Contractor | 607 S 5th St, Vienna, GA 31092-1529 | 2019-05-15 |
| 1629289764 | Truman L Vasko | Specialist | 104 S 6th St, Pob 440, Vienna, GA 31092-1530 | 2007-05-24 |
| 1396814034 | Dooly County School System | Local Education Agency (LEA) | 202 E Cotton St, Vienna, GA 31092-1550 | 2006-11-07 |
| Find all providers in zip 31092 | ||||
| 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 |
|---|---|---|---|---|
| 1891396578 | Chez-vous Homecare Team | Home Health | 8229 Boone Blvd Ste 380, Vienna, VA 22182-2623 | 2020-11-08 |
| 1578101606 | Passion for Care LLC | Home Health | 8300 Boone Blvd Ste 500, Vienna, VA 22182-2681 | 2019-12-19 |
| 1568009793 | Arvilla Caring Hands, LLC | Home Health | 520 Grand Central Ave Ste 201, Vienna, WV 26105-2187 | 2019-12-06 |
| 1841706082 | The Vision of Hope Foundation | Home Health | 101 Pleasant St Nw, Vienna, VA 22180-4418 | 2017-12-26 |
| 1093258949 | Rosemarys Home Health | Home Health | 713 Sodom Hutchings Rd Se, Vienna, OH 44473-8612 | 2016-11-27 |
| 1316325285 | Jesus Heart Home Health Care Agency, Inc. | Home Health | 8000 Towers Crescent Dr Fl 13, Vienna, VA 22182-6211 | 2015-05-12 |
| 1720481773 | Pax Home Care | Home Health | 8321 Old Courthouse Rd Ste 260, Vienna, VA 22182-3829 | 2014-10-06 |
| 1326453994 | Alm Health Services LLC | Home Health | 301 Maple Ave W Ste 490, Vienna, VA 22180-4318 | 2014-06-23 |
| 1225377807 | Ata&ana LLC | Home Health | 8304 Old Courthouse Rd., Unit D, Vienna, VA 22182 | 2013-02-02 |
| 1063749554 | Home Link Care, LLC | Home Health | 2110 Gallows Rd Ste C1, Vienna, VA 22182-3962 | 2009-11-04 |
| Find all providers in VIENNA | ||||
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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.