Southern Home Care

LBN: Southern Home Care
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 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Southern Home Care can be contacted via phone (662) 342-8527, or through Gant, Clifton via phone (662) 342-8527.

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, Clifton
Phone: (662) 342-8527

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 926 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1831115781
LBN Legal business name Southern Home Care
DBA Doing business as
Authorized official Gant, Clifton
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1831115781 NPPES
Mississippi MEDICAID 4581871
Mississippi Other 2586432
Mississippi MEDICAID 00045117

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