SOUTHERN HOME CARE SERVICES, INC.
NPI 1083350326
In Home Supportive Care in Manchester, TN

NPI Status: Active since May 10, 2022

Contact Information

851 MCARTHUR ST
MANCHESTER, TN
ZIP 37355
Phone: (629) 235-7480

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 44D2268964
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-19-2026

About SOUTHERN HOME CARE SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Southern Home Care Services, Inc., a provider established in Manchester, Tennessee operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1083350326 assigned on May 2022. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Heather Wilson (Credentialing Manager)

NPI
1083350326
Provider Name
SOUTHERN HOME CARE SERVICES, INC.
Entity Type
Organization
Location Address
851 MCARTHUR ST MANCHESTER, TN 37355
Location Phone
(629) 235-7480
Mailing Address
805 N WHITTINGTON PKWY LOUISVILLE, KY 40222
Mailing Phone
(502) 272-3463
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2022
Last Update Date
05-10-2022
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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
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

HEATHER WILSON

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(502) 272-3463

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
44D2268964
Facility Type
Physician Office
Certificate Effective Date
September 20, 2024
Certificate Expiration Date
September 19, 2026
Laboratory Director
EZOZA AKHUNDJANOVA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Home Care Services, Inc. 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.

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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.
1083350326
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016365034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 6 + 5 + 0 + 3 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1083350326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083350326, enumerated in the NPI registry as an "organization" on May 10, 2022

The provider is located at 851 Mcarthur St Manchester, Tn 37355 and the phone number is (629) 235-7480

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

The provider's CLIA number is 44D2268964 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on May 10, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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