Organization Active NPI

Southern Home Care Services, Inc.

  • Home Health Agency
  • New Haven, CT
National Provider Identifier
1295082196
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN HOME CARE SERVICES, INC.
Practice address
370 James St
Suite 303
New Haven, CT 06513-3089
Phone
(203) 777-4900
Fax
(203) 777-4916
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Ms. Deena G. Ombres
Title
Assoc. Gen. Counsel/Privacy Oficer
Phone
(502) 394-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

370 James St
Suite 303
New Haven, CT 06513-3089

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (502) 394-2100

Other identifiers 2

IdentifierTypeStateIssuer
0036OtherCTSTATE LICENSE
008003573MedicaidCT

Other names 1

  • TotalCare Home Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

370 James St
Ste 303
New Haven, CT 06513
Phone (203) 777-4900

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 18, 2016 Change of OwnershipThis provider was the seller Totalcare HomecareCCN 077246, CT, NPI 1649627662

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1295082196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 JAMES ST",
            "address_2": "SUITE 303",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133089",
            "telephone_number": "203-777-4900",
            "fax_number": "203-777-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ASSOC. GEN. COUNSEL/PRIVACY OFICER",
        "authorized_official_telephone_number": "502-394-2100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0036",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008003573",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TotalCare Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.