Southern Home Care Assistance

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN HOME CARE ASSISTANCE

Practice address

2836 Malvern Ave Ste G
Hot Springs, AR 71901-8363

Phone

(501) 525-8886

Fax

(501) 525-8887

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Stacey R Philyaw

Title

Office Manager

Phone

(501) 525-8886

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southern Home Care Assistance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southern Home Care Assistance

  • In Home Supportive Care Agency
  • Hot Springs, AR
  • NPI 1114390861
  NPD tax ID

Locations

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1275925984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 MALVERN AVE STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 MALVERN AVE STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018363",
            "telephone_number": "501-525-8886",
            "fax_number": "501-525-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME CARE ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "PHILYAW",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-525-8886"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206216765",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Gi, LLC
• South West Pediatric Therapy
• Southeastern Wellness Services
• Southern Caregivers of Hot Springs
• Southern Home Care Assistance
• Southwest Arkansas Foot and Ankle Center
• Lee D Sowerbutts, M.S., P.T.
• Spa Area Independent Living Services
• Spa City Counseling and Wellness Inc
• Spa City Counseling LLC

• Case Management Agency in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Case Management Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.