Southern Living Home Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4188 Issued in NC

Legal business name

SOUTHERN LIVING HOME CARE SERVICES

Practice address

177 Windgate CT
Mount Airy, NC 27030-7821

Phone

(336) 710-1833

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Zany Gray

Title

Administrator

Phone

(336) 710-1833

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1275990004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302244",
            "telephone_number": "336-710-1833",
            "fax_number": "336-374-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WINDGATE CT",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270307821",
            "telephone_number": "336-710-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIVING HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ZANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-710-1833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4188",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC4188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Snow, FNP-C
• Kellie Bondurant Snow, MSN-FNP
• Meaghan Snow
• Danal Sue Snyder, MD
• Holly Snyder, LCMHC
• Hannah Spangler
• Terry Christopher Speaks
• Kathryn Morrison Spencer-Moore
• Kimberly Gillispie Spencer, LPC
• Sallie Lynn Staley, PA-C

• Home Health Agency in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.