SOUTHERN HOME CARE SERVICES, INC. (NPI# 1659679611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659679611 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE SERVICES, INC. |
| Practice Address |
5515 21st Ave W Bradenton FL 34209-5600 |
| Mailing Address |
805 N Whittington Pkwy Louisville KY 40222-5186 |
| Practice Telephone | 9417476075 |
| Mailing Telephone | 5023942100 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | TIMOTHY WHOBREY (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5026307249 |
| 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 |
| Street Address |
5515 21ST AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1790305191 | Anchors Away Therapy Services, LLC | Home Health | 3901 Riverwalk Ct, Bradenton, FL 34208-8052 | 2020-04-26 |
| 1184255267 | Keesha Jenkins | Home Health | 955 53rd St E Apt 724, Bradenton, FL 34208-5896 | 2020-01-28 |
| 1538727961 | Family First Homecare of Bradenton | Home Health | 852 62nd Street Cir E Ste 103, Bradenton, FL 34208-6215 | 2019-05-31 |
| 1568986586 | Family Affair Home Health Care LLC | Home Health | 6400 Manatee Ave W Ste L110, Bradenton, FL 34209-2304 | 2017-08-01 |
| 1881059350 | Tlc Homecare Solutions | Home Health | 872 62nd Street Cir E, Unit 102, Bradenton, FL 34208-6238 | 2015-12-28 |
| 1972939833 | Compassionate Care Partners, Inc | Home Health | 4301 32nd St W Ste E25, Bradenton, FL 34205-2713 | 2013-09-23 |
| 1528403318 | Preferred Care Home Health Agency Inc | Home Health | 5265 Office Park Blvd, Suite 102, Bradenton, FL 34203-3441 | 2013-05-07 |
| 1033491352 | Dsb Ventures | Home Health | 3934 E State Road 64, Bradenton, FL 34208-9059 | 2011-09-13 |
| 1942590716 | Cityside Healthcare | Home Health | 5216 4th Avenue Cir E, Suite 1, Bradenton, FL 34208-5621 | 2011-04-14 |
| 1316240062 | Skilled Nursing Services, Inc. | Home Health | 6304 1st Ave W, Bradenton, FL 34209-2331 | 2010-12-17 |
| Find all providers in BRADENTON | ||||
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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.