SOUTHERN COMFORT HOME HEALTHCARE, LLC (NPI# 1407486525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407486525 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COMFORT HOME HEALTHCARE, LLC |
| Practice Address |
1006 Union Rd Gastonia NC 28054-0466 |
| Mailing Address |
2443 Bethesda Oaks Dr Gastonia NC 28056-0001 |
| Practice Telephone | 7049152010 |
| Mailing Telephone | 7049152010 |
| Mailing Fax Number | 7048799225 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | DARRIEL FORTENBERRY (OWNER) |
| Authorized Official Telephone | 7049152010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
1006 UNION RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-0466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912282674 | Julie Parker Thompson | Nurse Practitioner | 1006 Union Rd, Ste B, Gastonia, NC 28054-5591 | 2011-10-13 |
| 1740738707 | Thompson's Family Psychiatric Care, Pllc | Nurse Practitioner | 1006 Union Rd, Suite B, Gastonia, NC 28054-0466 | 2016-09-19 |
| 1922474295 | Independent Life Health System | In Home Supportive Care | 1006 Union Rd, A, Gastonia, NC 28054-0466 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1396375119 | Im Here Care Providers LLC | In Home Supportive Care | 1101 Jannee Ct, Gastonia, NC 28052-5723 | 2020-01-21 |
| 1831738996 | S & C Home Care, LLC | In Home Supportive Care | 2020 Remount Rd Ste E106, Gastonia, NC 28054-7476 | 2020-01-06 |
| 1104479161 | Mary Home Care LLC | In Home Supportive Care | 3509 Canyon Live Oak Ct, Gastonia, NC 28056-0034 | 2019-07-18 |
| 1598120099 | Pro Care Home Care LLC | In Home Supportive Care | 602 Bessemer City Rd, Gastonia, NC 28052-1313 | 2015-12-28 |
| 1689970345 | J'rose Personal Care Services | In Home Supportive Care | 3816 S New Hope Rd Ste 22, Gastonia, NC 28056-8493 | 2011-01-28 |
| 1861724593 | Iyon Debbie Akhimien | In Home Supportive Care | 2906 Union Rd, Gastonia, NC 28054-6022 | 2010-02-05 |
| 1750517025 | Enterpro Stc Services | In Home Supportive Care | 1554 Union Rd Ste B, Gastonia, NC 28054-5581 | 2009-06-01 |
| 1821696055 | Traynell Home Care LLC | In Home Supportive Care | 305 S Columbia St, Gastonia, NC 28054-0451 | 2020-10-09 |
| 1215546312 | Priphemma Homecare LLC | In Home Supportive Care | 469 Hospital Dr Ste E, Gastonia, NC 28054-4779 | 2020-07-24 |
| 1720539968 | Touchpoint Healthcare Services Inc | In Home Supportive Care | 1566 Union Rd Ste A, Gastonia, NC 28054-5301 | 2016-10-24 |
| Find all providers in GASTONIA | ||||
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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.