Southern Comfort Pca

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

8389PCS Issued in NV

Legal business name

SOUTHERN COMFORT PCA

Practice address

3925 W Cheyenne Ave Ste 401
North Las Vegas, NV 89032-3495

Phone

(708) 868-2905

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Shameika Amin

Title

Adminstrator

Phone

(702) 868-2905

Specialties & licenses 1

Addresses

Tax ID family

Southern Comfort Pca3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Comfort Pca

  • Home Health Agency
  • North Las Vegas, NV
  • NPI 1376939660
  NPD tax ID
• Southern Comfort Pca

  • In Home Supportive Care Agency
  • N Las Vegas, NV
  • NPI 1982060349
  NPD tax ID

Locations

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1245696608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 W CHEYENNE AVE STE 401",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 W CHEYENNE AVE STE 401",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323495",
            "telephone_number": "708-868-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHAMEIKA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "702-868-2905"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "8389PCS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Soriano
• Dominic Sorreta
• Kenia Soto Mendez
• Maydelin Sotolongo Sanchez
• Maritza Sotomayor
• Southern Comfort Pca
• Southern Nevada Children First
• Southern Nevada VA Medical Center
• Starla Southward
• Southwest Healthcare Center LLC

• In Home Supportive Care Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.