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SOUTHERN HOME CARE SERVICES INC. NPI 1205411733


NPI Information

NPI: 1205411733
Provider Name: SOUTHERN HOME CARE SERVICES, INC.
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 25D2136560

Address:
1425 LAKELAND DR STE 100CD
JACKSON, MS
ZIP 39216
Phone: (601) 362-2892
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SOUTHERN HOME CARE SERVICES, INC. is an in home supportive care in Jackson, MS. 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. SOUTHERN HOME CARE SERVICES, INC. NPI is 1205411733. The provider is registered as an organization entity type.

The provider's business location address is:

1425 LAKELAND DR STE 100CD
JACKSON, MS
ZIP 39216-725
Phone: (601) 362-2892

The provider's authorized official is Heather Wilson .
The authorized official title is Credentialing Manager and has the following contact phone number (502) 272-3463.

The CLIA number assigned to this NPI record is 25D2136560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2021 and was last updated on 3/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

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: 11/14/2023

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