Southern Home Care

LBN: Southern Home Care
Southern Home Care is an health care organization with primary practice located at 990 Holcomb Bridge Rd Suite 2, Roswell GA 30076-6203. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Southern Home Care can be contacted via phone (770) 650-1247, or through Pank, Mary A via phone (502) 420-2666.

Contact Information

Primary practice address
990 Holcomb Bridge Rd Suite 2 Roswell GA 30076-6203
Phone: (770) 650-1247
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pank, Mary A
Phone: (502) 420-2666

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1477721454
LBN Legal business name Southern Home Care
DBA Doing business as
Authorized official Pank, Mary A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Jul 8th, 2016 - about 9 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 1477721454 NPPES
Georgia MEDICAID 000552538AJ

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