SOUTHERN COMFORT PCA
NPI 1982060349
In Home Supportive Care in N Las Vegas, NV

NPI Status: Active since January 14, 2016

Contact Information

3925 W CHEYENNE AVE STE 401
N LAS VEGAS, NV
ZIP 89032
Phone: (702) 868-8905

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
In Home Supportive Care
CLIA Number: 29D2040249
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 04-24-2026

About SOUTHERN COMFORT PCA

This page provides the complete NPI Profile along with additional information for Southern Comfort Pca, a provider established in N Las Vegas, Nevada operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1982060349 assigned on January 2016. The practitioner's primary taxonomy code is 253Z00000X with license number 8389PCS (NV). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Shameika Amin (Adminstrator)

NPI: 1982060349
Provider Name: SOUTHERN COMFORT PCA
Entity Type: Organization
Location Address: 3925 W CHEYENNE AVE STE 401 N LAS VEGAS, NV 89032
Location Phone: (702) 868-8905
Mailing Address: 3925 W CHEYENNE AVE STE 401 N LAS VEGAS, NV 89032
Mailing Phone: (702) 868-8905
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-14-2016
Last Update Date: 01-14-2016
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Location Map

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: In Home Supportive Care
Taxonomy Code: 253Z00000X
Type: Agencies
License No.: 8389PCS
License State: NV
Taxonomy Description: 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.

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: SHAMEIKA AMIN
Authorized Official Title: ADMINSTRATOR
Authorized Official Phone: (702) 868-2905

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 29D2040249
Facility Type: Physician Office
Certificate Effective Date: April 25, 2024
Certificate Expiration Date: April 24, 2026
Laboratory Director: AMIR K. NICKNAM
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Southern Comfort Pca to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	9	8	2	0	6	0	3	4	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	16	2	0	6	0	3	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 0 + 6 + 0 + 3 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1982060349 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 17 providers are registered at the same or nearby location.

DEANDRA' COBB

Behavior Analyst

3925 W CHEYENNE AVE STE 401
N LAS VEGAS, NV
ZIP 89032

About SOUTHERN COMFORT PCA

Location Map

Specialty - Primary Taxonomy

In Home Supportive Care

Authorized Official

SHAMEIKA AMIN

CLIA Information

Reviews for SOUTHERN COMFORT PCA

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is SOUTHERN COMFORT PCA's NPI number?

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What is the provider's specialty?