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General NPI Number Information
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NPI Number | 1386942340
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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 | 03/01/2011
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2240 BELLEAIR RD STE 110
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City | CLEARWATER
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State | FL
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Zip | 33764-2768
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Country | US
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Telephone | 727-734-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N WHITTINGTON PKWY STE 400
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City | LOUISVILLE
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State | KY
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Zip | 40222-7102
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Country | US
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Telephone | 502-394-2100
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MARGARET S 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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