SOUTHERN HOME CARE (NPI# 1669703997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669703997 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE |
| Other Organization Name | PROGRESSIVE PERSONAL CARE |
| Practice Address |
1921 Oxford St Missoula MT 59801-6640 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 9077709005 |
| Practice Fax Number | 9077707980 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251X00000X | Supports Brokerage | Agencies |
| Other Name | Type Code |
|---|---|
| Progressive Personal Care | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033646658 | Southern Home Care | Respite Care | 7530 Lexus Ln, Memphis, TN 38119-9006 | 2017-05-12 |
| 1538337522 | Southern Home Care | Home Health | 1399 Big A Rd, Toccoa, GA 30577-6030 | 2008-02-13 |
| 1477721454 | Southern Home Care | Home Health | 990 Holcomb Bridge Rd, Suite 2, Roswell, GA 30076-6203 | 2008-02-13 |
| 1548438534 | Southern Home Care | Home Health | 1301 Whispering Pines Rd, Albany, GA 31707-3553 | 2008-02-13 |
| 1831115781 | Southern Home Care | Pharmacy | 8865 First Industrial Dr, Southaven, MS 38671-1919 | 2006-07-14 |
| 1063746204 | Southern Home Care | Intermediate Care Facility, Mentally Retarded | 701 S 3rd St, Cordele, GA 31015-1720 | 2009-09-21 |
| 1467620443 | Southern Home Care | Home Health | 107 Dogwood Dr, Waynesboro, GA 30830-5448 | 2008-02-13 |
| 1457529448 | Southern Home Care | Home Health | 1551 Jennings Mill Rd, Suite 2700a, Watkinsville, GA 30677-7244 | 2008-02-13 |
| 1467620450 | Southern Home Care | Home Health | 1700 E Park Ave, Valdosta, GA 31602-3400 | 2008-02-13 |
| 1578731550 | Southern Home Care | Home Health | 105 Preston Ct, Suite B, Macon, GA 31210-5769 | 2008-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SOUTHERN HOME CARE SERVICES INC. | 805 N Whittington Pkwy, Louisville, Kentucky 40222 |
| 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 |
1921 OXFORD ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-6640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750428520 | Progressive Personal Care | Respite Care | 1921 Oxford St, Missoula, MT 59801-6640 | 2007-01-31 |
| 1134411671 | Southern Home Care Services, Inc. | Home Health | 1921 Oxford St, Missoula, MT 59801-6640 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
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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.