S & S Personal Care Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

S & S PERSONAL CARE HOME, LLC

Practice address

475 Cinderella LN SE
Dawson, GA 39842-1850

Phone

(229) 695-9075

Fax

(229) 329-4474

NPI assigned

Mar 20, 2024

Last updated

Jul 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shakita RandleNPI 1942748405

Title

Owner

Phone

(229) 343-0391

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shakita Randle

  • Home Health Agency
  • Albany, GA
  • NPI 1942748405
  Authorized official Same address or phone

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752883200000",
    "number": "1922868579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CINDERELLA LN SE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398421850",
            "telephone_number": "229-695-9075",
            "fax_number": "229-329-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CINDERELLA LN SE",
            "city": "DAWSON",
            "state": "GA",
            "postal_code": "398421850",
            "telephone_number": "229-695-9075",
            "fax_number": "229-329-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S PERSONAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "SHAKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-343-0391"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Martin, PHARM.D.
• Moseley Drug Company Inc (Moseley Drug Company)
• Dipna Patel
• Shaniqua Powell
• Amanda Parnacott Roufs, PNP
• Katrina Freeman Sasine, DNP, APRN, FNP-C
• Charles Edwin Scott Jr., RPH
• Michael Sein, DO
• Michelle Shirah
• Softline Home Support

• Assisted Living Facility in Dawson, GA
• Providers in Dawson, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.