SOUTHERN HOME CARE SERVICES, INC (NPI# 1750673042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750673042 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOME CARE SERVICES, INC |
| Practice Address |
3578 Quad Pkwy Montgomery AL 36116-6750 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 5023942100 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | MS. DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023942387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179665 | Southern Home Care Services, Inc | Home Health | 362 S Main St Ste B, Baxley, GA 31513-0187 | 2019-11-21 |
| 1477015360 | Southern Home Care Services, Inc | Chore Provider | 4508 Coliseum Blvd Unit 1, Alexandria, LA 71303-3564 | 2019-04-01 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1760960009 | Southern Home Care Services, Inc | Home Health | 9312 Olive Blvd, Saint Louis, MO 63132-3208 | 2018-07-30 |
| 1508098435 | Southern Home Care Services, Inc | Home Health | 317 W State St, Muscle Shoals, AL 35661-2835 | 2009-08-11 |
| 1780828160 | Southern Home Care Services, Inc | Community/Behavioral Health | 1200 Navaho Dr, Raleigh, NC 27609-7443 | 2009-04-29 |
| 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 |
3578 QUAD PKWY |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| 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 |
|---|---|---|---|---|
| 1235738477 | Kimberly Barnes | Home Health | 10612 Harcourt Trce, Montgomery, AL 36117-6073 | 2020-10-19 |
| 1902424963 | Deborah Mason | Home Health | 7274 Forest Hills Dr, Montgomery, TX 77316-3888 | 2020-07-07 |
| 1407491673 | Keith Jackson | Home Health | 2934 Pelzer Ave, Montgomery, AL 36109-2147 | 2019-11-12 |
| 1831617703 | Statewide Healthcare Services, Inc | Home Health | 6767 Taylor Cir, Montgomery, AL 36117-3417 | 2017-08-31 |
| 1790212439 | Harvey & Phelps, LLC | Home Health | 2294 State Route 208, Suite 5, Montgomery, NY 12549-2217 | 2017-05-12 |
| 1659819316 | Care Help Homecare | Home Health | 3086 Woodley Rd, Suite D, Montgomery, AL 36116-3149 | 2017-02-02 |
| 1457707143 | Essential Home Care | Home Health | 2837 E South Blvd Unit 20213, Montgomery, AL 36120-3010 | 2016-05-11 |
| 1619331121 | The Rose Assisted Living Center | Home Health | 10814 Twin Circles Dr, Montgomery, TX 77356-4734 | 2016-04-11 |
| 1346611472 | Magnolia Home Care Services Inc. | Home Health | 2400 Geneva Ln, Montgomery, IL 60538-5047 | 2015-10-15 |
| 1922410497 | Capitol City Home Health and Rehab | Home Health | 8202 Old Federal Rd Ste A, Montgomery, AL 36117-8030 | 2014-06-02 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
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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.