# SOUTHCARE MEDICAL & HOMECARE SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366764185
- **Authorized official:** MR. GEORGE ECHEBELEM (OPERATING MANAGER)
- **Authorized official phone:** (404) 844-9975

## Contact information

- **Practice address:** 1303 E UNION ST STE A, VIENNA, GA 31092-7540
- **Practice address phone:** (404) 844-9975
- **Practice address fax:** (888) 687-4829
- **Mailing address:** 1150 INDUSTRIAL DR, SUITE 142, VIENNA, GA 31092-1333
- **Mailing address phone:** (404) 552-4361
- **Mailing address fax:** (229) 888-3558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 046-R-0644 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/21/2010
- **Last updated:** 03/10/2023