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General NPI Number Information
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NPI Number | 1326968363
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Entity Type | Organization
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Legal Business Name | SOUTHERN HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1503 SANTA ROSA RD RM 111
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City | HENRICO
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State | VA
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Zip | 23229-5105
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Country | US
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Telephone | 423-855-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40222-5186
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP AND MANAGER
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Name | MARGARET PEMBERTON
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Credential |
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Telephone | 502-394-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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