Southern Home Private Care LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

SOUTHERN HOME PRIVATE CARE LLC

Practice address

906 20TH Ave
Ste 115
Meridian, MS 39301-5153

Phone

(601) 686-1589

NPI assigned

Dec 2, 2015

Last updated

Dec 6, 2016By 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

Dorothy M Moore

Title

Owner

Phone

(601) 686-1589

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1063887032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 20TH AVE",
            "address_2": "STE 115",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015153",
            "telephone_number": "601-686-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 20TH AVE",
            "address_2": "STE 115",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015153",
            "telephone_number": "601-686-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME PRIVATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-686-1589"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Meridian, MS
• Providers in Meridian, MS by specialty
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.