Southern Hospitality at Home, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN HOSPITALITY AT HOME, INC.

Practice address

511 N Cobb St Ste 4
Milledgeville, GA 31061-3278

Phone

(478) 295-0946

Fax

(478) 295-0434

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kierra BaconNPI 1982483616

Title

Ceo/Owner

Phone

(478) 295-0946

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kierra Bacon

  • Home Health Aide
  • Macon, GA
  • NPI 1982483616
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1497443782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4786 HIGH OAK DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105647",
            "telephone_number": "912-314-3811",
            "fax_number": "478-259-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N COBB ST STE 4",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613278",
            "telephone_number": "478-295-0946",
            "fax_number": "478-295-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOSPITALITY AT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "KIERRA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "478-295-0946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy W Smith, MSN, APRN, FNP-C
• Keshana Snead, APRN
• Nusheco S Sneid-Arnold, LPC
• Mohit Sobti, OT
• Sokar Kendor MD PC
• Southern Orthopaedics
• Southside Drugs Inc (Southside Discount Drugs)
• Santeva Sheane Speights
• Shari Speights
• Laynie Brown Spivey

• In Home Supportive Care Agency in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.