SOUTHEAST HOME CARE SERVICES INC NPI 1043757099

NPI Information

NPI: 1043757099
Provider Name: SOUTHEAST HOME CARE SERVICES INC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
CLIA Number: 11D2270412
Address: 312 N DAVIS DR
WARNER ROBINS, GA
ZIP 31093
Phone: (478) 951-7769

Map and Directions

Get Directions

NPI Details

SOUTHEAST HOME CARE SERVICES INC is an in home supportive care in Warner Robins, GA. The provider is 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. SOUTHEAST HOME CARE SERVICES INC NPI is 1043757099. The provider is registered as an organization entity type.

The provider's business location address is:

312 N DAVIS DR
WARNER ROBINS, GA
ZIP 31093-350
Phone: (478) 951-7769
Fax: (855) 898-0022

The provider's authorized official is Jennifer R Spence .
The authorized official title is Owner and has the following contact phone number (478) 297-4755.

The CLIA number assigned to this NPI record is 11D2270412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care		076-R-119	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	076-R-1119	OTHER	GEORGIA	PRIVATE HOME CARE PROVIDER LICENSE/HFR/DCH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI