Active NPI
Southern Home Care Services, Inc.
- Home Health Agency
- New Haven, CT
National Provider Identifier
1295082196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036 | Other | CT | STATE LICENSE |
| 008003573 | Medicaid | CT |
Other names 1
- TotalCare Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
370 James St
Ste 303
New Haven, CT 06513
Phone (203) 777-4900
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 18, 2016 | Change of Ownership | Totalcare Homecare |
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"
}
]
}
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- Southern New England Home Care
- Kristen Southwick, RN
- Kathrine Sowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.