Southern Care and Comfort in Home Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC

Practice address

225 Physicians Park
Suite 301
Poplar Bluff, MO 63901-3935

Phone

(573) 686-2273

Fax

(573) 686-4663

NPI assigned

Feb 10, 2016

Last updated

Feb 10, 2016By 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

Kimberly Wilson

Title

Owner/Member

Phone

(573) 686-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1275991861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK",
            "address_2": "SUITE 301",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013935",
            "telephone_number": "573-686-2273",
            "fax_number": "573-686-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK",
            "address_2": "SUITE 301",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013935",
            "telephone_number": "573-686-2273",
            "fax_number": "573-686-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "573-686-2273"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Missouri Community Treatment Center Inc
• Southeast Missouri Community Treatment Center, Inc.
• Southeast Missouri Residential Services
• Southeast Rehabilitation, LLC (Poplar Bluff Rehabilitation)
• Southeasthealth Hospital Holdings, LLC (Southeasthealth)
• Southern Missouri Sleep Center, LLC
• Southern Missouri Sleep Center, LLC
• Southern Oaks RCF-II, LLC
• Jody Beth Spain, APRN, FNP-BC
• Jennifer Spell

• In Home Supportive Care Agency in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• In Home Supportive Care Agency in Missouri

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