Southern Nursing Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

901 Issued in LA

Legal business name

SOUTHERN NURSING HOME HEALTH

Practice address

8335 Kelwood Ave
Baton Rouge, LA 70806-4804

Phone

(225) 927-5978

Fax

(225) 927-5980

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Dickerson

Title

Manager

Phone

(225) 927-5978

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gonzales Home Health Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1780729004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 KELWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064804",
            "telephone_number": "225-927-5978",
            "fax_number": "225-927-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 KELWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064804",
            "telephone_number": "225-927-5978",
            "fax_number": "225-927-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NURSING HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-927-5978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1405051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzales Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Care Providers, Inc.
• Southern Life Care LLC
• Southern Medical Holding Corporation
• Southern Neuromonitoring, LLC
• Southern Nursing Home Health
• Southern Regional Medical Center
• Southern Regional Wound Care Consultants, LLC
• Southern Select Housing LLC
• Southern Select Housing LLC
• Southern Select Massage Therapy LLC

• Home Health Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.