SOUTHERN HOME ASSISTED LIVING,INC
NPI 1174691646
Adult Companion in Graceville, FL

Q: What is Southern Home Assisted Living,inc's NPI number?

The NPI number for Southern Home Assisted Living,inc is 1174691646. It was assigned to this organization in the NPPES registry on December 1, 2006.

Q: What is Southern Home Assisted Living,inc's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Active since December 01, 2006

3854 HIGHWAY 2, GRACEVILLE, FL 32440(850) 263-7999(850) 263-6555 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Home Assisted Living,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN HOME ASSISTED LIVING,INC (NPI 1174691646) is a healthcare organization registered as an adult companion in Graceville, Florida and active in the NPI registry since December 2006. The organization lists Karen Cecile Stoe, President, as its authorized official.

NPPES Registry Identity

NPI1174691646

Entity TypeOrganization

Primary Taxonomy372600000X

Legal Business NameSOUTHERN HOME ASSISTED LIVING,INC

Location Address3854 HIGHWAY 2Graceville, FL 32440-7406

Mailing Address3854 Hwy 2Graceville, FL 32440 · (850) 263-7999 · Fax (850) 263-6555

Phone(850) 263-7999

Fax(850) 263-6555

Organization SubpartNo

Authorized OfficialKaren Cecile StoePresident · (850) 263-7999

Enumeration DateDecember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1174691646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

License✔ Licensed in FL · AL10417

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

3854 HIGHWAY 2, Graceville, FL 32440

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SWEET T LEGACIES, LLC

Assisted Living Facility

3854 HIGHWAY 2
GRACEVILLE, FL 32440

Jackson County (850) 703-7142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Home Assisted Living,inc's NPI number?

The NPI number for Southern Home Assisted Living,inc is 1174691646. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Southern Home Assisted Living,inc located?

Southern Home Assisted Living,inc is located at 3854 Highway 2, Graceville, FL 32440. The listed phone number is (850) 263-7999.

What is Southern Home Assisted Living,inc's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Southern Home Assisted Living,inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.