Southern Home Care

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

SOUTHERN HOME CARE

Practice address

8865 First Industrial Dr
Southaven, MS 38671-1919

Phone

(662) 342-8527

Fax

(662) 280-3708

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Clifton Gant

Title

VP of Ops

Phone

(662) 342-8527

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Sandra Gant3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sandra Gant

  • Durable Medical Equipment & Medical Supplies
  • Southaven, MS
  • NPI 1427171107
  NPD tax ID
• Southern Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Batesville, MS
  • NPI 1225102320
  NPD tax ID

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831115781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "389210793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 FIRST INDUSTRIAL DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711919",
            "telephone_number": "662-342-8527",
            "fax_number": "662-280-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GANT",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "VP OF OPS",
        "authorized_official_telephone_number": "662-342-8527"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "926",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4581871",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2586432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00045117",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southaven Sleep Clinic
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• Southcrest Anesthesia Services, PLLC
• Southcrest Women Healthcare
• Southeast Urology Network PC
• Southern Orthodontic Specialists, P.C.
• Southgate Durable Medical Equipments
• Southland Recovery, PLLC
• Sova Anesthesia, PLLC
• Specialty Surgery Center, LLC

• Specialty Pharmacy in Southaven, MS
• Providers in Southaven, MS by specialty
• Specialty Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.