Southern Home Care

LBN: Sandra Gant
Southern Home Care is an health care organization with primary practice located at 8865 First Industrial Dr , Southaven MS 38671-1919. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Sandra Gant can be contacted via phone (662) 342-8527, or through Gant, Jeff D via phone (662) 647-0093.

Contact Information

Primary practice address
8865 First Industrial Dr Southaven MS 38671-1919
Phone: (662) 342-8527
Fax: (662) 280-3708
Website:
Map and Directions
Authorized official contact:
Name: Gant, Jeff D
Phone: (662) 647-0093

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 068039932 Mississippi

Profile Details

NPI number 1427171107
LBN Legal business name Sandra Gant
DBA Doing business as Southern Home Care
Authorized official Gant, Jeff D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Sep 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427171107 NPPES
Mississippi MEDICAID 00045117

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