Active NPI
Southern Care Home Health LLC
- Personal Care Attendant
- Dallas, TX
National Provider Identifier
1669170205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Legal business name
- SOUTHERN CARE HOME HEALTH LLC
- Practice address
- 325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923 - Phone
- (469) 559-9325
- Fax
- (972) 349-8962
- NPI assigned
- Feb 22, 2023
- 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
- Latreshia Monee Harris
- Title
- Owner
- Phone
- (318) 289-7124
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Mailing address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (318) 289-7124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019236 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Southern Care Home Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Mesquite, TX
- NPI 1053896308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693094400000",
"number": "1669170205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "318-289-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "469-559-9325",
"fax_number": "972-349-8962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CARE HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-08-27",
"certification_date": "2023-08-27",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "LATRESHIA",
"authorized_official_middle_name": "MONEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-289-7124"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019236",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Southeast Anesthesia & Pain Management LLC
- Southeast Dallas Health Center
- Marve Southerland
- Southern Area Behavioral Healthcare LLC
- Southern Belle Group Inc
- Southern Magnolia Therapeutic Solutions
- Southern Methodist University
- Southern Methodist University
- Southern Neuro Rehab Institiute, PLLC
- Southern Sector Health Initiative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.