Organization Active NPI

Southern Comfort Home Health Agency

  • Home Health Agency
  • Flowood, MS
National Provider Identifier
1255053435
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN COMFORT HOME HEALTH AGENCY
Practice address
10 Canebrake Blvd Ste 203
Flowood, MS 39232-2211
Phone
(601) 850-4579
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Alexis Shavone Lumpkin, NURSENPI 1922720101
Title
Owner
Phone
(601) 850-4579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10 Canebrake Blvd Ste 203
Flowood, MS 39232-2211

Mailing address

5201 Lakeland Blvd Apt S192
Flowood, MS 39232-8916
Phone (601) 850-4579

National Provider Directory

National Provider Directory

Locations

10 Canebrake Blvd
Ste 203
Flowood, MS 39232
Phone (601) 850-4579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1255053435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 LAKELAND BLVD APT S192",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328916",
            "telephone_number": "601-850-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CANEBRAKE BLVD STE 203",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392322211",
            "telephone_number": "601-850-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "SHAVONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-850-4579",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

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