SOUTHERN PROFESSIONAL HOME CARE LLC
NPI 1790465342
Home Health in Greenville, SC

Q: What is Southern Professional Home Care LLC's NPI number?

The NPI number for Southern Professional Home Care LLC is 1790465342. It was assigned to this organization in the NPPES registry on July 19, 2023.

Q: What is Southern Professional Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since July 19, 2023

1200 WOODRUFF RD STE A3, GREENVILLE, SC 29607(864) 419-0167(864) 213-6317 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Professional Home Care Llc NPPES

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

SOUTHERN PROFESSIONAL HOME CARE LLC (NPI 1790465342) is a healthcare organization registered as a home health in Greenville, South Carolina and active in the NPI registry since July 2023. The organization lists Gwendolyn Elaine Jackson, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1790465342

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameSOUTHERN PROFESSIONAL HOME CARE LLC

Location Address1200 WOODRUFF RD STE A3Greenville, SC 29607-5732

Mailing Address1200 Woodruff Rd Ste A3Greenville, SC 29607-5732 · (864) 419-0167 · Fax (864) 213-6317

Phone(864) 419-0167

Fax(864) 213-6317

Organization SubpartNo

Authorized OfficialGwendolyn Elaine JacksonAdministrator/ceo · (864) 419-0167

Enumeration DateJuly 19, 2023

NPPES CertifiedJuly 19, 2023

✔ NPI 1790465342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

1200 WOODRUFF RD STE A3, Greenville, SC 29607

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Other Names 1

Former Legal Business NameSouthern Professional Home Care Llc

Other Providers at the Same Location NPPES 18

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

WANDA PEPPER OWNER

Technician (Personal Care Attendant)

1200 WOODRUFF RD STE A3, SUITE 190
GREENVILLE, SC 29607

Greenville County (864) 527-0441

GRETTA P. LAWSON M.ED.

Marriage & Family Therapist

1200 WOODRUFF RD STE A3
GREENVILLE, SC 29607

Greenville County (864) 297-9999

JOEL RANDELL BURKE LPC

Counselor (Professional)

1200 WOODRUFF RD STE A3
GREENVILLE, SC 29607

Greenville County (864) 527-1253

D2 HOME HEALTH CARE LLC

Home Health Aide

1200 WOODRUFF RD STE A3
GREENVILLE, SC 29607

Greenville County (864) 213-6311

JAMILA STARKS

Home Health Aide

1200 WOODRUFF RD STE A3
GREENVILLE, SC 29607

Greenville County (864) 213-6315

EXTENDING HELP CASE MANAGEMENT SERVICES

Case Management

1200 WOODRUFF RD STE A3, STE. 138
GREENVILLE, SC 29607

Greenville County (864) 434-8254

GOLDEN UPSTATE HOME BASE CARE LLC

In Home Supportive Care

1200 WOODRUFF RD STE A3
GREENVILLE, SC 29607

Greenville County (864) 213-6311

D2 HOME HEALTH CARE LLC

Home Health

1200 WOODRUFF RD STE A3
GREENVILLE, SC 29607

Greenville County (864) 213-6311

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 Professional Home Care LLC's NPI number?

The NPI number for Southern Professional Home Care LLC is 1790465342. It was assigned to this organization in the NPPES registry on July 19, 2023.

Where is Southern Professional Home Care LLC located?

Southern Professional Home Care LLC is located at 1200 Woodruff Rd Ste A3, Greenville, SC 29607. The listed phone number is (864) 419-0167.

What is Southern Professional Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Southern Professional Home Care LLC was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.