Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Other names
TotalCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFICER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
370 JAMES ST, SUITE 303, NEW HAVEN, CT 06513-3089
(203) 777-4900
(203) 777-4916
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036
STATE LICENSE
CT
05
—
008003573
—
CT
Enumeration date
08/09/2012
Last updated
09/19/2012
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