SOUTHERN HOME CARE SERVICES, INC. (NPI# 1073067625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073067625 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE SERVICES, INC. |
| Other Organization Name | RESCARE HOMECARE |
| Practice Address |
806 Stone Creek Pkwy Ste 9 Louisville KY 40223-5394 |
| Mailing Address |
805 N Whittington Pkwy Louisville KY 40222-5186 |
| Practice Telephone | 5023942100 |
| Mailing Telephone | 5023942100 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. TIMOTHY TYLER WHOBREY (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5026307249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| All Ways Caring HomeCare | Doing Business As Name - Organization |
| ResCare HomeCare | Doing Business As Name - Organization |
| 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 |
806 STONE CREEK PKWY STE 9 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-5394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| 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 |
|---|---|---|---|---|
| 1063023927 | Fox Access LLC | In Home Supportive Care | 5817 Bannon Crossings Dr, Louisville, KY 40228-1190 | 2020-08-13 |
| 1932732211 | Diamond Heart Home Care | In Home Supportive Care | 1703 W Creek Way Apt 6, Louisville, KY 40242-3929 | 2020-02-14 |
| 1376192542 | Galaxy Home Care LLC | In Home Supportive Care | 2221 Buechel Ave Ste 11, Louisville, KY 40218-2667 | 2019-09-10 |
| 1588213052 | Debbie Kay Mccowan | In Home Supportive Care | 1001 Springside Way, Louisville, KY 40223-3782 | 2019-09-08 |
| 1124673587 | Bluegrass Companion Care | In Home Supportive Care | 8911 Thelma Ln, Louisville, KY 40220-2939 | 2019-08-02 |
| 1780237537 | Rahco Kentuckiana, LLC | In Home Supportive Care | 500 Executive Park, Louisville, KY 40207-4205 | 2019-07-22 |
| 1487181087 | Pathway2recoveryky LLC | In Home Supportive Care | 214 Breckenridge Ln Ste 207, Louisville, KY 40207-3879 | 2017-05-15 |
| 1548702756 | Personal Options Homecare, LLC | In Home Supportive Care | 9311 Ponder Ln, Louisville, KY 40272-3921 | 2016-11-07 |
| 1801342720 | Discount Medical Supply | In Home Supportive Care | 5616 Preston Hwy, Louisville, KY 40219-1304 | 2016-08-31 |
| 1801261482 | Cognicare | In Home Supportive Care | 632 Ballard St, Louisville, KY 40202-1189 | 2015-12-08 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
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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.