MEDICARE: SOUTHERN HOME CARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1346500543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHERN HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	9901 LINN STATION RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3808
Country	:	US
Telephone Number	:	800-866-0860
Fax Number	:

Provider Business Practice Location Address
First Line	:	12627 SAN JOSE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-2662
Country	:	US
Telephone Number	:	904-260-2018
Fax Number	:

Authorized Official
Title or Position	:	PRIVACY OFFICER
Name	:	DEENA OMBRES
Credential	:
Telephone Number	:	800-866-0860

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	05/22/2012

Similar Medicare Providers

1215041603 — CARDIO OPTIONS INC.
Practice Location Address:

12627 SAN JOSE BLVD , SUITE 205
JACKSONVILLE, FL
32223-2662

Practice Phone: 904-268-6679
Practice Fax: 904-425-3236

1902973530 — SPEECH & HEARING CENTER, INC
Practice Location Address:

12627 SAN JOSE BLVD , SUITE 503
JACKSONVILLE, FL
32223-2662

Practice Phone: 904-355-3403
Practice Fax: 904-355-4149

1457631210 — ZAHIRA M ARROYO LMT
Practice Location Address:

12627 SAN JOSE BOULEVARD #504 , MASSAGE RENAISSANCE
JACKSONVILLE, FL
32223-2662

Practice Phone: 904-412-1428
Practice Fax:

1033478219 — MR. KATHIRESAN RAJENDRAN M.S,CCC-SLP
Practice Location Address:

12627 SAN JOSE BLVD , STE. 506
JACKSONVILLE, FL
32223-2662

Practice Phone: 301-300-0382
Practice Fax: 877-736-3470

1730448630 — CLAUDINE BAZELAIS SLP
Practice Location Address:

12627 SAN JOSE BLVD , SUITE 506
JACKSONVILLE, FL
32223-2662

Practice Phone: 904-374-1414
Practice Fax:

1386054658 — DR. JON CLAUDE THOMAS D.C
Practice Location Address:

12627 SAN JOSE BLVD , SUITE 501
JACKSONVILLE, FL
32223-2662

Practice Phone: 904-683-8177
Practice Fax: 904-738-7483

Directions to “SOUTHERN HOME CARE SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.