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SOUTHERN COMFORT PCA
NPI 1245696608
In Home Supportive Care in North Las Vegas, NV

Active since January 14, 2016
3925 W CHEYENNE AVE STE 401, NORTH LAS VEGAS, NV 89032(708) 868-2905 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Comfort Pca NPPES

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

SOUTHERN COMFORT PCA (NPI 1245696608) is a healthcare organization registered as an in home supportive care in North Las Vegas, Nevada and active in the NPI registry since January 2016. The organization lists Shameika Amin, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1245696608
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameSOUTHERN COMFORT PCA
Location Address3925 W CHEYENNE AVE STE 401North Las Vegas, NV 89032-3495
Mailing Address3925 W Cheyenne Ave Ste 401North Las Vegas, NV 89032-3495
Phone(708) 868-2905
Organization SubpartNo
Authorized OfficialShameika AminAdminstrator · (702) 868-2905
Enumeration DateJanuary 14, 2016
✔ NPI 1245696608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in NV · 8389PCS
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
3925 W CHEYENNE AVE STE 401, North Las Vegas, NV 89032
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Other Providers at the Same Location NPPES 16

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

DEANDRA' COBB
Behavior Analyst
3925 W CHEYENNE AVE STE 401
N LAS VEGAS, NV 89032
Clark County (702) 502-2504
RAMEN THOMAS
Behavior Analyst
3925 W CHEYENNE AVE STE 401
NORTH LAS VEGAS, NV 89032
Clark County (702) 868-2905
MISHAY SCRUGGS
Behavior Analyst
3925 W CHEYENNE AVE STE 401
N LAS VEGAS, NV 89032
Clark County (661) 466-8500
DONEISHA BIRDSONG
Technician (Personal Care Attendant)
3925 W CHEYENNE AVE STE 401
NORTH LAS VEGAS, NV 89032
Clark County (702) 868-2901
SOUTHERN COMFORT PCA
Home Health
3925 W CHEYENNE AVE STE 401
NORTH LAS VEGAS, NV 89032
Clark County (702) 868-2901
TYRHONDA LYNN STARKS
Behavior Analyst
3925 W CHEYENNE AVE STE 401
N LAS VEGAS, NV 89032
Clark County (702) 868-2905
SHAUNTE REECE
Behavior Analyst
3925 W CHEYENNE AVE STE 401
NORTH LAS VEGAS, NV 89032
Clark County (702) 868-2901
LAMONDA YOUNG
Behavior Analyst
3925 W CHEYENNE AVE STE 401
NORTH LAS VEGAS, NV 89032
Clark County (702) 868-2901

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 Comfort Pca's NPI number?

The NPI number for Southern Comfort Pca is 1245696608. It was assigned to this organization in the NPPES registry on January 14, 2016.

Where is Southern Comfort Pca located?

Southern Comfort Pca is located at 3925 W Cheyenne Ave Ste 401, North Las Vegas, NV 89032. The listed phone number is (708) 868-2905.

What is Southern Comfort Pca's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Southern Comfort Pca was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.