Southern Care Providers, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHERN CARE PROVIDERS, LLC

Practice address

190 Independence Dr
Roebuck, SC 29376-3335

Phone

(812) 457-1738

NPI assigned

Aug 31, 2022

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tara Smith, RNNPI 1528750403

Title

Administrator

Phone

(812) 457-1738

Specialties & licenses 1

Addresses

Tax ID family

Southern Care Providers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Care Providers, LLC

  • Home Health Agency
  • Warrenville, SC
  • NPI 1215791264
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tara Smith

  • Home Health Registered Nurse
  • Roebuck, SC
  • NPI 1528750403
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1003536814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PINE LOG RD # 1068",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 INDEPENDENCE DR",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293763335",
            "telephone_number": "812-457-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "812-457-1738",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kaye Shinn, RPH
• Tara Smith
• Tim W Smith
• Michael Sobeski Sr.
• Solo Flyer, Inc. (Roebuck Family Practice)
• Spartan Health Services, Inc.
• Spartanburg County School District Six
• Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Dorman)
• Jaime P. Steading, BCBA
• John Leroy Steele Jr.

• Home Health Agency in Roebuck, SC
• Providers in Roebuck, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.