SOUTHERN HOME PRIVATE CARE LLC
NPI 1063887032
Homemaker in Meridian, MS

Active since December 02, 2015
906 20TH AVE, STE 115, MERIDIAN, MS 39301(601) 686-1589 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Homemaker

About SOUTHERN HOME PRIVATE CARE LLC

This page provides the complete NPI Profile along with additional information for Southern Home Private Care Llc, a provider established in Meridian, Mississippi operating as a Homemaker. The healthcare provider is registered in the NPI registry with number 1063887032 assigned on December 2015. The practitioner's primary taxonomy code is 376J00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dorothy M Moore (Owner)

NPI
1063887032 Verify this NPI
Provider Name
SOUTHERN HOME PRIVATE CARE LLC
Entity Type
Organization
Location Address
906 20TH AVE STE 115 MERIDIAN, MS 39301
Location Phone
(601) 686-1589
Mailing Address
906 20TH AVE STE 115 MERIDIAN, MS 39301
Mailing Phone
(601) 686-1589
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-02-2015
Last Update Date
12-06-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Homemaker

Taxonomy Code
376J00000X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOROTHY M MOORE

Authorized Official Title
OWNER
Authorized Official Phone
(601) 686-1589

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
906 20TH AVE, #117
MERIDIAN, MS 39301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063887032, enumerated as an "organization" on December 02, 2015.

The provider is located at 906 20TH AVE STE 115 MERIDIAN, MS 39301 and the phone number is (601) 686-1589.

Homemaker with taxonomy code 376J00000X.