NPIMap

Organization Active NPI

Southern Home Care Services, Inc.

  • In Home Supportive Care Agency
  • Columbia, SC
National Provider Identifier
1992198246
Registry record updated Mar 4, 2020
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
455 Saint Andrews Rd
Building a, Suite 1
Columbia, SC 29210-4486
Phone
(803) 772-3060
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Angie Mattingly
Title
Manager Provider Enrollment
Phone
(502) 630-7425

Specialties & licenses 1

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

Addresses

Primary practice location

455 Saint Andrews Rd
Building a, Suite 1
Columbia, SC 29210-4486

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808
Phone (502) 394-2100

Other names 1

  • All Ways Caring HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Home Care Services Inc238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

455 Saint Andrews Rd
Ste A1
Columbia, SC 29210
Phone (803) 772-3060

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1992198246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT ANDREWS RD",
            "address_2": "BUILDING A, SUITE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104486",
            "telephone_number": "803-772-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-630-7425"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Ways Caring HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.