SOUTHERN HOME HEALTHCARE INC


Address: 2925 S Caraway Rd Ste B, Jonesboro, AR 72401
Phone: 8709320990

SOUTHERN HOME HEALTHCARE INC (NPI# 1790787042) 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) 1790787042
Entity Type Organization
Organization Name SOUTHERN HOME HEALTHCARE INC
Practice Address 2925 S Caraway Rd Ste B
Jonesboro
AR 72401
Mailing Address 2925 South Caraway Road
Jonesboro
AR 72401-7313
Practice Telephone 8709320990
Practice Fax Number 8709321124
Mailing Telephone 8709320990
Mailing Fax Number 8709321124
Enumeration Date 2005-06-01
Last Update Date 2018-08-21
Authorized Official Name STEVE TRICARICO (OWNER / MANAGER)
Authorized Official Telephone 8709320990
Is Organization Subpart Y
Parent Organization Name SOUTHERN HOME HEALTHCARE INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS ORTHOTIC PROVIDER 49852 01
AR 150051716 05
AR BCBS DME PROVIDER 49854 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386124022 Southern Home Healthcare Inc Durable Medical Equipment & Medical Supplies 1058 Highland Cir Ste 12, Mountain Home, AR 72653-3275 2018-08-21

Office Location

Street Address 2925 S CARAWAY RD STE B
City JONESBORO
State AR
Zip Code 72401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
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Taxonomy Information

Taxonomy Code 332BX2000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Oxygen Equipment & Supplies

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679041263 Elite Medical Care, LLC Durable Medical Equipment & Medical Supplies 4924 E Nettleton Ave, Jonesboro, AR 72401-6553 2018-11-13
1568991214 Rehab Medical, Inc Durable Medical Equipment & Medical Supplies 8568 Highway 85, Jonesboro, GA 30238 2017-06-07
1124409065 Claude Sims Durable Medical Equipment & Medical Supplies 918 Brandon Hill Way, Jonesboro, GA 30238-4483 2015-06-16
1033487491 Affordable Home Health Care Inc Durable Medical Equipment & Medical Supplies 4707 E Johnson Ave, Jonesboro, AR 72401-1999 2011-12-13
1356410864 Medical Solutions of Arkansas, LLC Durable Medical Equipment & Medical Supplies 1000 E Matthews Ave Ste F, Jonesboro, AR 72401-4344 2006-11-07
1275629131 Oxygen-medical Equipment & Supplies Durable Medical Equipment & Medical Supplies 8596 Highway 85, Jonesboro, GA 30238-4300 2006-10-05
1912900945 Scientech Medical Supplies, Inc. Durable Medical Equipment & Medical Supplies 7000 Tara Blvd, Suite F, Jonesboro, GA 30236-1600 2005-05-23
1902021462 C & J Medical Supplies Durable Medical Equipment & Medical Supplies 299 N Main St, Jonesboro, GA 30236-3234 2007-04-17
1376633008 Pro-med of Jonesboro Inc Durable Medical Equipment & Medical Supplies 300 Carson St, Suite 103, Jonesboro, AR 72401-3104 2006-10-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689281222 Unified Medical Equipment Solutions Durable Medical Equipment & Medical Supplies 2000 Mclain St Ste F, Newport, AR 72112-3762 2020-09-28
1639639040 Adapthealth - Missouri LLC Durable Medical Equipment & Medical Supplies 5436 Bleaux Ave Ste A, Springdale, AR 72762-0750 2019-03-21
1386124022 Southern Home Healthcare Inc Durable Medical Equipment & Medical Supplies 1058 Highland Cir Ste 12, Mountain Home, AR 72653-3275 2018-08-21
1568820330 Sleep Partners, LLC Durable Medical Equipment & Medical Supplies 5 Medical Ln, Suite C & D, Conway, AR 72034-4912 2016-02-08
1558757476 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 3000 Military Rd Ste 1, Benton, AR 72015-2734 2015-04-07
1841639960 Village Apothecary, Inc. Durable Medical Equipment & Medical Supplies 134 S George, Mt Ida, AR 71953 2013-06-21
1154680544 Little Rock Respiratory Durable Medical Equipment & Medical Supplies 15001 Chicopee Trl, Little Rock, AR 72210-3232 2012-05-07
1639435464 Faith Medical Incorporated Durable Medical Equipment & Medical Supplies 1360 S Constitution Ave, Ashdown, AR 71822-8652 2012-04-05
1689969891 Lindsey's Respiratory, L.l.c Durable Medical Equipment & Medical Supplies 103 N Bailey St, Monticello, AR 71655-4907 2011-06-15
1437458031 George Myers Durable Medical Equipment & Medical Supplies 114 E Crandall Ave Ste A, Harrison, AR 72601-3628 2011-03-22
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Competitor

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City JONESBORO
Zip Code 72401

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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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