Southern Comfort Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN COMFORT LIVING

Practice address

6641 North Broad Street
Philadelphia, PA 19126

Phone

(267) 335-5936

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Javier Gunn

Title

President

Phone

(267) 474-6464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1639706823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 NORTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19126",
            "telephone_number": "267-335-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 NORTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19126",
            "telephone_number": "267-335-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-474-6464"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia Catarina South, MD
• Susan A Southard, CRNP
• Southeast Pennsylvania Emergency Physicians, LLC
• Barbara Southerland, NURSE PRACTITIONER
• Tamara Southerling, PH.D.
• Daniel L Southren, MD
• Southwest Leadership Academy Charter School
• Southwest Nu-Stop, Inc.
• Southwood Home Services, LLC.
• Natalia Vasconcellos Souza, MD, MSC

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.