SOUTHERN HOME CARE AGENCY LLC (NPI# 1588049811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588049811 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE AGENCY LLC |
| Practice Address |
906 20th Ave Ste 117 Meridian MS 39301-5153 |
| Practice Telephone | 6012075255 |
| Practice Fax Number | 6012075227 |
| Mailing Telephone | 6012075255 |
| Mailing Fax Number | 6012075227 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Authorized Official Name | MS. ANGELA HARRIS (OWNER) |
| Authorized Official Telephone | 6012075255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03956097 | 05 |
| Street Address |
906 20TH AVE STE 117 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962758896 | Heavenly Angels Home Care | In Home Supportive Care | 906 20th Ave, #117, Meridian, MS 39301-5153 | 2012-07-29 |
| 1063887032 | Southern Home Private Care LLC | Homemaker | 906 20th Ave, Ste 115, Meridian, MS 39301-5153 | 2015-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1568025674 | Terrace Home Health Boise LLC | Home Health | 2929 W Navigator Dr Ste 120, Meridian, ID 83642-7553 | 2019-04-16 |
| 1962962159 | Lhsc LLC | Home Health | 1510 E Watertower St Ste 100, Meridian, ID 83642-7993 | 2019-03-22 |
| 1275039562 | Karen Griffin | Home Health | 2120 4th St Ste 207, Meridian, MS 39301-5102 | 2018-04-04 |
| 1518462555 | Healthy Living At Home-boise, LLC. | Home Health | 2950 E Magic View Dr Ste 150, Meridian, ID 83642-6253 | 2018-03-29 |
| 1104341817 | Alpha Home Health | Home Health | 335 E Moskee St, Meridian, ID 83646-1928 | 2017-08-03 |
| 1265822589 | Angels Home Careservices | Home Health | 3523 33rd St, Meridian, MS 39307-4502 | 2015-01-24 |
| 1063756781 | Hytech Repair Inc. | Home Health | 995 E Leighfield Dr, Meridian, ID 83646-1767 | 2012-11-19 |
| 1558660027 | Providence Nursing Services | Home Health | 1008 W Honker Dr, Meridian, ID 83642-7735 | 2011-03-22 |
| 1629372040 | Touchmark At Meadow Lake Village, LLC | Home Health | 625 S Arbor Ln, Meridian, ID 83642-3025 | 2010-12-28 |
| 1972825321 | Touch of Grace | Home Health | 534 Pippins Rd, Meridian, MS 39301-9567 | 2010-02-25 |
| Find all providers in MERIDIAN | ||||
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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.