Provider Demographics
NPI:1730763301
Name:SOUTHERN CARING HANDS HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:SOUTHERN CARING HANDS HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-616-8169
Mailing Address - Street 1:200 N ARCHUSA AVE
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-2417
Mailing Address - Country:US
Mailing Address - Phone:601-557-5041
Mailing Address - Fax:
Practice Address - Street 1:200 N ARCHUSA AVE
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-2417
Practice Address - Country:US
Practice Address - Phone:601-557-5041
Practice Address - Fax:601-557-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health