SOUTHERN HOME CARE SERVICES, INC. (NPI# 1386941698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386941698 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE SERVICES, INC. |
| Practice Address |
139 Executive Cir Ste 202 Daytona Beach FL 32114-7102 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 3862577070 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | MARY A PANK (PARALEGAL) |
| Authorized Official Telephone | 5024202666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 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 |
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 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 |
| 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 |
139 EXECUTIVE CIR STE 202 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1285247155 | Larhonda Hill | Home Health | 324 Reva St, Daytona Beach, FL 32114-4742 | 2020-08-28 |
| 1205465507 | Lucent Health, LLC | Home Health | 1110 Pelican Bay Dr, Daytona Beach, FL 32119-1381 | 2020-04-07 |
| 1003383365 | Agape Services, Inc | Home Health | 1161 Saint Augustine Rd, Daytona Beach, FL 32114-5716 | 2018-10-25 |
| 1942722657 | Tamara Johnson | Home Health | 1372 Woodbine St, Daytona Beach, FL 32114-5741 | 2017-07-13 |
| 1477089597 | Plan Life Care LLC | Home Health | 601 Innovation Way, Daytona Beach, FL 32114 | 2017-05-10 |
| 1962954065 | Elena Michelle Geist | Home Health | 1125 Madrid Ave, Daytona Beach, FL 32114-3915 | 2016-10-25 |
| 1285008318 | Global Medical and Behavioral Health Corporation | Home Health | 1183 Suwanee Rd, Daytona Beach, FL 32114-5916 | 2015-12-01 |
| 1558635458 | Greystone Home Healthcare LLC | Home Health | 1704 Huntington Village Circle, Suite A, Daytona Beach, FL 32114 | 2012-02-24 |
| 1376772897 | Partners In Care, LLC | Home Health | 1901 Mason Ave Ste 102, Daytona Beach, FL 32117-5105 | 2009-07-06 |
| 1720286651 | Nurse On Call, Inc. | Home Health | 1900 Mason Ave Ste 130, Daytona Beach, FL 32117-5116 | 2007-07-03 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.