Organization Active NPI

Southern Comfort in-Home Care

  • In Home Supportive Care Agency
  • Andalusia, AL
National Provider Identifier
1184258485
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHERN COMFORT IN-HOME CARE
Practice address
26091 Shoemaker Rd
Andalusia, AL 36421-5903
Phone
(334) 222-0100
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
William Blocker
Title
President
Phone
(334) 222-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

26091 Shoemaker Rd
Andalusia, AL 36421-5903

Mailing address

26091 Shoemaker Rd
Andalusia, AL 36421-5903
Phone (334) 222-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1184258485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26091 SHOEMAKER RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364215903",
            "telephone_number": "334-222-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26091 SHOEMAKER RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364215903",
            "telephone_number": "334-222-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-222-0100"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.