Organization Active NPI

Southern Home Care Services, Inc.

  • In Home Supportive Care Agency
  • Valdosta, GA
National Provider Identifier
1891811345
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHERN HOME CARE SERVICES, INC.
Practice address
1700 E Park Ave
Valdosta, GA 31602-3400
Phone
(229) 242-2797
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Mr. Timothy Whobrey
Title
Provider Enrollment
Phone
(502) 630-7249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1700 E Park Ave
Valdosta, GA 31602-3400

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (502) 394-2100

Other practice location 1

1101 Sylvan Ave Ste 210
Modesto, CA 95350-1607
Phone (209) 523-9194

Other practice location 2

5250 Claremont Ave Ste 250
Stockton, CA 95207-5700
Phone (209) 473-1202

Other practice location 3

5346 Madison Ave # D&e
Sacramento, CA 95841-3166
Phone (916) 484-7701

Other practice location 4

7161 Lee Hwy Ste 500
Chattanooga, TN 37421-8605
Phone (423) 855-4656

Other identifiers 2

IdentifierTypeStateIssuer
000498242AMedicaidGA
0031086000MedicaidWV

Other names 1

  • All Ways Caring HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Sylvan Ave
Ste 210
Modesto, CA 95350
Phone (209) 523-9194

5250 Claremont Ave
Ste 250
Stockton, CA 95207
Phone (209) 473-1202

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1891811345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023400",
            "telephone_number": "229-242-2797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Sylvan Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953501607",
            "country_code": "US",
            "telephone_number": "209-523-9194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5250 Claremont Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075700",
            "country_code": "US",
            "telephone_number": "209-473-1202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5346 Madison Ave # D&e",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958413166",
            "country_code": "US",
            "telephone_number": "916-484-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7161 Lee Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374218605",
            "country_code": "US",
            "telephone_number": "423-855-4656",
            "fax_number": "423-855-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "WHOBREY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-630-7249",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000498242A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031086000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Ways Caring HomeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All Ways Caring HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.