Organization Active NPI

Southern Style Hospitality Home Services LLC

  • Home Health Agency
  • Statesboro, GA
National Provider Identifier
1184315541
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN STYLE HOSPITALITY HOME SERVICES LLC
Practice address
3349 Northside Drive West
Statesboro
Statesboro, GA 30458
Phone
(912) 682-5291
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Sherry A Grant
Title
Owner
Phone
(912) 682-5291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3349 Northside Drive West
Statesboro
Statesboro, GA 30458

Mailing address

3349 Northside Drive West
Statesboro
Statesboro, GA 30458
Phone (912) 682-5291

Other names 1

  • Southern Style Hospitality Home Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3349 Northside Dr W
Statesboro, GA 30458
Phone (912) 682-5291

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1184315541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 NORTHSIDE DRIVE WEST",
            "address_2": "STATESBORO",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-682-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 NORTHSIDE DRIVE WEST",
            "address_2": "STATESBORO",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-682-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN STYLE HOSPITALITY HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "A GRANT",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-682-5291"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Style Hospitality Home Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.