Southern Care Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHERN CARE SERVICES, LLC.

Practice address

2738 Winnetka Ave N
Suite #150Q
New Hope, MN 55427-2850

Phone

(763) 957-0099

Fax

(952) 217-4513

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Wayne Foster

Title

Preside T

Phone

(763) 957-0099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1043642176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N",
            "address_2": "SUITE #150Q",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-957-0099",
            "fax_number": "952-217-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE N",
            "address_2": "SUITE #150Q",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-957-0099",
            "fax_number": "952-217-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDE T",
        "authorized_official_telephone_number": "763-957-0099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in New Hope, MN
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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.