SOUTHERN HOME HEALTHCARE INC , NPI 1790787042
Durable Medical Equipment & Medical Supplies in JONESBORO, AR
Last Updated on : Sep 27,2022
About SOUTHERN HOME HEALTHCARE INC (NPI 1790787042)
SOUTHERN HOME HEALTHCARE INC is a Durable Medical Equipment & Medical Supplies in JONESBORO, United States with a focus in Oxygen Equipment & Supplies .
1790787042 is NPI number of SOUTHERN HOME HEALTHCARE INC.
SOUTHERN HOME HEALTHCARE INC's primary taxonomy code based on NPI Lookup is 332BX2000X with license number . This taxonomy code refers to Durable Medical Equipment & Medical Supplies.
SOUTHERN HOME HEALTHCARE INC current practice location address is 2925 S CARAWAY RD STE B, JONESBORO, AR. SOUTHERN HOME HEALTHCARE INC can be reached out via phone at 870-932-0990 and via fax at 870-932-1124 .
You can also correspond with SOUTHERN HOME HEALTHCARE INC through mail at mailing address 2925 SOUTH CARAWAY ROAD, JONESBORO, AR, United States. Mailing address contact number is 870-932-0990.
The enumeration date of SOUTHERN HOME HEALTHCARE INC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 1 years ago. The authorized official of SOUTHERN HOME HEALTHCARE INC is STEVE TRICARICO (OWNER / MANAGER). STEVE TRICARICO can be reached at 8709320990.1790787042 NPI Information
Basic NPI information of SOUTHERN HOME HEALTHCARE INC (NPI 1790787042) is provided below.
| Name | SOUTHERN HOME HEALTHCARE INC |
|---|---|
| National Provider Id (NPI) | 1790787042 |
| Entity Type | Organization |
| Practice Address | 2925 S CARAWAY RD STE B,
JONESBORO, AR, United States |
| Practice Telephone | 870-932-0990 |
| Practice Fax Number | 870-932-1124 |
| Mailing Address | 2925 SOUTH CARAWAY ROAD ,
JONESBORO, AR, United States |
| Mailing Telephone | 870-932-0990 |
| Mailing Fax Number | 870-932-1124 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 27-Sep-2022 |
SOUTHERN HOME HEALTHCARE INC (NPI 1790787042) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150051716 | MEDICAID (05) | AR | |
| 4812940001 | MEDICARE NSC (07) | AR | |
| 49852 | Other (non-Medicare) (01) | AR | BCBS ORTHOTIC PROVIDER |
| 49854 | Other (non-Medicare) (01) | AR | BCBS DME PROVIDER |
SOUTHERN HOME HEALTHCARE INC (NPI 1790787042) Office Location
Office location of SOUTHERN HOME HEALTHCARE INC is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1124398631 | BRADLEY A MARTIN | Speech-Language Pathologist, | 509 HUMMINGBIRD CV,
JONESBORO, AR, United States |
01-Jan-2012 |
| 1861559445 | KELLY K HARRISON | Nurse Anesthetist, Certified Registered | PO BOX 8099,
JONESBORO, AR, United States |
02-Jan-2007 |
| 1073883591 | CATELYN WILLIAMS | Day Training/Habilitation Specialist | 3434 ONE PL,
JONESBORO, AR, United States |
02-Jan-2012 |
| 1841536331 | ANDREA NICOLE CAMDEN | Speech-Language Pathologist, | 151 SOUTHWEST DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1922344415 | BRITTANY DANIELLE MITCHELL | Speech-Language Pathologist, | 151 SOUTHWEST DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1730425224 | CRYSTAL SHEREE TOOMBS | Speech-Language Pathologist, | 56 WATER ST,
ST AUGUSTINE, FL, United States |
02-Jan-2013 |
| 1093051583 | JENNIFER LARAND CONN | Speech-Language Pathologist, | 1801 GRANT AVE,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1265778757 | JULI BETH JUNKERSFELD | Speech-Language Pathologist, | 151 SOUTHWEST DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1083950588 | LAUREN RAMONA FAULKNER | Speech-Language Pathologist, | 151 SOUTHWEST DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1609112101 | LINDSEY BLANCHARD RHODES | Speech-Language Pathologist, | 151 SOUTHWEST DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1144566647 | BRITTNEY B GIBBS | Speech-Language Pathologist, | 151 SOUTHWEST DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1780920298 | THERAPY LINKS | Clinic/Center, Physical Therapy | 4504 KALLI DR,
JONESBORO, AR, United States |
02-Jan-2013 |
| 1083187033 | LEZLEE BENNETT | Case Manager/Care Coordinator | 2707 BROWNS LANE,
JONESBORO, AR, United States |
02-Jan-2019 |
| 1619024833 | PAULA MICHELLE PARNELL | Specialist/Technologist, Athletic Trainer | 2120 MANCHESTER DR,
JONESBORO, AR, United States |
03-Jan-2007 |
| 1306993423 | AMANDA MICHELLE COLEMAN | Specialist/Technologist, Athletic Trainer | 2712 WAKEFIELD DR APT H,
JONESBORO, AR, United States |
03-Jan-2007 |
| 1669742011 | SAMUEL B. HESTER PHD PA | Clinic/Center, Adult Mental Health | 361 SOUTHWEST DR # 105,
JONESBORO, AR, United States |
03-Jan-2012 |
| 1306183876 | SHAINA ROSS | Occupational Therapy Assistant | 3434 ONE PL,
JONESBORO, AR, United States |
03-Jan-2013 |
| 1104247469 | RICHARD R. MELICK | Case Manager/Care Coordinator | 1815 PLEASANT GROVE ROAD,
JONESBORO, AR, United States |
03-Jan-2014 |
| 1891117982 | HEATHER NICOLE SMITH | Case Manager/Care Coordinator | 1815 PLEASANT GROVE ROAD,
JONESBORO, AR, United States |
09-Jan-2014 |
| 1922155001 | CANAAN MARIE CHAMPION | Nurse Anesthetist, Certified Registered | 1523 S MAIN ST,
SHATTUCK, OK, United States |
04-Jan-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1790787042?1790787042 is the NPI number of SOUTHERN HOME HEALTHCARE INC.
Where is SOUTHERN HOME HEALTHCARE INC located?SOUTHERN HOME HEALTHCARE INC is located at 2925 S CARAWAY RD STE B, JONESBORO, AR.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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