SOUTHERN HOME HEALTHCARE INC (NPI# 1386124022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386124022 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME HEALTHCARE INC |
| Other Organization Name | SOUTHERN HOME HEALTHCARE INC |
| Practice Address |
1058 Highland Cir Ste 12 Mountain Home AR 72653-3275 |
| Mailing Address |
2925 S Caraway Rd Jonesboro AR 72401-7313 |
| Practice Telephone | 8704244454 |
| Practice Fax Number | 8704244414 |
| Mailing Telephone | 8709320990 |
| Mailing Fax Number | 8709321124 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | STEVE TRICARICO (PRESIDENT) |
| Authorized Official Telephone | 8709320990 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN HOME HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| SOUTHERN HOME HEALTHCARE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787042 | Southern Home Healthcare Inc | Durable Medical Equipment & Medical Supplies | 2925 S Caraway Rd Ste B, Jonesboro, AR 72401 | 2005-06-01 |
| Street Address |
1058 HIGHLAND CIR STE 12 |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281222 | Unified Medical Equipment Solutions | Durable Medical Equipment & Medical Supplies | 2000 Mclain St Ste F, Newport, AR 72112-3762 | 2020-09-28 |
| 1639639040 | Adapthealth - Missouri LLC | Durable Medical Equipment & Medical Supplies | 5436 Bleaux Ave Ste A, Springdale, AR 72762-0750 | 2019-03-21 |
| 1679041263 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 4924 E Nettleton Ave, Jonesboro, AR 72401-6553 | 2018-11-13 |
| 1568820330 | Sleep Partners, LLC | Durable Medical Equipment & Medical Supplies | 5 Medical Ln, Suite C & D, Conway, AR 72034-4912 | 2016-02-08 |
| 1558757476 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 3000 Military Rd Ste 1, Benton, AR 72015-2734 | 2015-04-07 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1154680544 | Little Rock Respiratory | Durable Medical Equipment & Medical Supplies | 15001 Chicopee Trl, Little Rock, AR 72210-3232 | 2012-05-07 |
| 1639435464 | Faith Medical Incorporated | Durable Medical Equipment & Medical Supplies | 1360 S Constitution Ave, Ashdown, AR 71822-8652 | 2012-04-05 |
| 1033487491 | Affordable Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 4707 E Johnson Ave, Jonesboro, AR 72401-1999 | 2011-12-13 |
| 1689969891 | Lindsey's Respiratory, L.l.c | Durable Medical Equipment & Medical Supplies | 103 N Bailey St, Monticello, AR 71655-4907 | 2011-06-15 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.