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SOUTHERN HOME HEALTHCARE INC , NPI 1790787042

Durable Medical Equipment & Medical Supplies in JONESBORO, AR

Last Updated on : Sep 27,2022

SOUTHERN HOME HEALTHCARE INC , NPI 1790787042

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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