Southern Care Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHERN CARE HOME HEALTH LLC

Practice address

417 Surrey PL
Mesquite, TX 75149-5991

Phone

(318) 527-9893

Fax

(972) 399-8962

NPI assigned

Oct 2, 2018

Last updated

Feb 11, 2022By 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

Latreshia Harris, LVN

Title

Administrator

Phone

(318) 527-9893

Specialties & licenses 1

Addresses

Tax ID family

Southern Care Home Health 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 Home Health LLC

  • Personal Care Attendant
  • Dallas, TX
  • NPI 1669170205
  NPD tax ID

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1053896308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SURREY PL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495991",
            "telephone_number": "469-559-9325",
            "fax_number": "972-349-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SURREY PL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751495991",
            "telephone_number": "318-527-9893",
            "fax_number": "972-399-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LATRESHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-527-9893",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Britany L South, MS, LAT, ATC
• Southern Area HIV-AIDS Awareness Education and Prevention Center (Adult Behavioral Care)
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• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.