SOUTHSIDE PERSONAL CARE HOME LLC
NPI 1740802354
Home Health Aide in Louisville, KY

Q: What is Southside Personal Care Home LLC's NPI number?

The NPI number for Southside Personal Care Home LLC is 1740802354. It was assigned to this organization in the NPPES registry on May 18, 2020.

Q: What is Southside Personal Care Home LLC's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Active since May 18, 2020

5330 S 3RD ST STE 200, LOUISVILLE, KY 40214(502) 533-1492(502) 212-9292 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2020, May 18, 2020 (2 updates tracked since 2020).

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About Southside Personal Care Home Llc NPPES

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

SOUTHSIDE PERSONAL CARE HOME LLC (NPI 1740802354) is a healthcare organization registered as a home health aide in Louisville, Kentucky and active in the NPI registry since May 2020. The organization lists Abdirashid Ahmed Kanyare, Manager, as its authorized official.

NPPES Registry Identity

NPI1740802354

Entity TypeOrganization

Primary Taxonomy374U00000X

Legal Business NameSOUTHSIDE PERSONAL CARE HOME LLC

Location Address5330 S 3RD ST STE 200Louisville, KY 40214-2689

Mailing Address5330 S 3rd St Ste 200Louisville, KY 40214-2689 · (502) 533-1492 · Fax (502) 212-9292

Phone(502) 533-1492

Fax(502) 212-9292

Organization SubpartNo

Authorized OfficialAbdirashid Ahmed KanyareManager · (502) 533-1492

Enumeration DateMay 18, 2020

Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration

NPPES CertifiedAugust 7, 2020

✔ NPI 1740802354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

5330 S 3RD ST STE 200, Louisville, KY 40214

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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

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 Southside Personal Care Home LLC's NPI number?

The NPI number for Southside Personal Care Home LLC is 1740802354. It was assigned to this organization in the NPPES registry on May 18, 2020.

Where is Southside Personal Care Home LLC located?

Southside Personal Care Home LLC is located at 5330 S 3rd St Ste 200, Louisville, KY 40214. The listed phone number is (502) 533-1492.

What is Southside Personal Care Home LLC's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Southside Personal Care Home LLC was last updated on August 7, 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.