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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730317074
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	:	1551 JENNINGS MILL RD
Second Line	:	SUITE 2700A
City	:	BOGART
State	:	GA
Zip	:	30622-2544
Country	:	US
Telephone Number	:	800-866-0860
Fax Number	:

Authorized Official
Title or Position	:	PRIVACY OFFICER
Name	:	DEENA OMBRES
Credential	:
Telephone Number	:	502-394-2387

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	06/25/2009

Similar Medicare Providers

1942299615 — DR. PAMELA ANN TAYLOR PH.D.
Practice Location Address:

1551 JENNINGS MILL RD , SUITE 2000B
BOGART, GA
30622-2544

Practice Phone: 706-372-6055
Practice Fax: 706-354-6972

1104852706 — ATHENS THERAPEUTICS
Practice Location Address:

1551 JENNINGS MILL RD , SUITE 1700A
BOGART, GA
30622-2544

Practice Phone: 706-369-9099
Practice Fax: 706-369-1656

1881801181 — VIRGINIA MCKENNA M.ED.
Practice Location Address:

1551 JENNINGS MILL RD , RESOURCE VALLEY, SUITE 1700-B
BOGART, GA
30622-2544

Practice Phone: 706-338-3688
Practice Fax:

1497902480 — DEBRA ALVIS, PH.D., INC
Practice Location Address:

1551 JENNINGS MILL RD , SUITE 2000 B
BOGART, GA
30622-2544

Practice Phone: 706-369-7441
Practice Fax: 706-549-2569

1134544117 — FAMILIES 4 CHANGE, INC.
Practice Location Address:

1551 JENNINGS MILL RD , SUITE 3100B
BOGART, GA
30622-2544

Practice Phone: 706-369-9707
Practice Fax: 706-369-9708

1891341921 — VINCENT PERRIS OMOZEH OYAGHA LPC, NCC
Practice Location Address:

1551 ATLANTA HWY STE 161
BOGART, GA
30622-1902

Practice Phone: 912-202-3060
Practice Fax:

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 © 2007-2025 (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.