Organization Active NPI

Southern Care Connection, LLC

Doing business as #1 in Home Care

  • Home Health Agency
  • New Orleans, LA
National Provider Identifier
1659819134
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHERN CARE CONNECTION, LLC
Doing business as
#1 in Home Care
Practice address
1539 Jackson Ave
New Orleans, LA 70130
Phone
(504) 341-9290
Fax
(504) 341-3605
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Shawn Lopez
Title
Owner/ Manager
Phone
(504) 341-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1539 Jackson Ave
New Orleans, LA 70130

Mailing address

4512 Burke Dr
Matairie, LA 70003
Phone (504) 341-9290

Other identifiers 2

IdentifierTypeStateIssuer
1813567MedicaidLA
1820997MedicaidLA

Other names 1

  • #1 in Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1 In Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1539 Jackson Ave
New Orleans, LA 70130
Phone (504) 341-9290

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1659819134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 BURKE DR",
            "city": "MATAIRIE",
            "state": "LA",
            "postal_code": "70003",
            "telephone_number": "504-341-9290",
            "fax_number": "504-341-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 JACKSON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70130",
            "telephone_number": "504-341-9290",
            "fax_number": "504-341-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "504-341-9290"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1813567",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1820997",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "#1 in Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.