NPIMap

Organization Active NPI

Southern Home Care Services, Inc.

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1295064608
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHERN HOME CARE SERVICES, INC.
Practice address
430 Herlong Ave S Ste 102
Rock Hill, SC 29732-1094
Phone
(803) 324-7707
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Angie Mattingly
Title
Manager-Provider Enrollment
Phone
(502) 394-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

430 Herlong Ave S Ste 102
Rock Hill, SC 29732-1094

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (800) 866-0860

Other identifiers 1

IdentifierTypeStateIssuer
EX0694MedicaidSC

Other names 2

  • All Ways Caring HomeCare Doing business as
  • ResCare HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Home Care Services Inc238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

1162 Ebenezer Rd
Rock Hill, SC 29732

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1295064608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "800-866-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 HERLONG AVE S STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321094",
            "telephone_number": "803-324-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER-PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0694",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Ways Caring HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ResCare HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.