Southern Living Assistance Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN LIVING ASSISTANCE SERVICES

Practice address

4011 Beatline Rd Ste 1
Long Beach, MS 39560-4138

Phone

(228) 222-4624

NPI assigned

Feb 25, 2020

Last updated

Jan 10, 2024By 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

Robin Buch

Title

Owner

Phone

(228) 222-4624

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1255965646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 1",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604138",
            "telephone_number": "228-222-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 1",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604138",
            "telephone_number": "228-222-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVING ASSISTANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BUCH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-222-4624"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Allen Smith, R.PH.
• South Mississippi Regional
• South Mississippi Regional Center
• South Mississippi Regional Center
• South Mississippi Regional Center
• John Stage
• Kevin Stage, LPN
• Kristina Stewart, LPN
• Jamie Rachael Taylor, MABC, PLCP
• David Price Tedford Jr., PHARMD

• In Home Supportive Care Agency in Long Beach, MS
• Providers in Long Beach, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.