SOUTHERN COMFORT HOME HEALTHCARE, LLC


Address: 1006 Union Rd, Gastonia, NC 28054-0466
Phone: 7049152010

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care Agencies

Office Location

Street Address 1006 UNION RD
City GASTONIA
State NC
Zip Code 28054-0466

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City GASTONIA
Zip Code 28054

Improve Information

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Dataset Information

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.

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