Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
1124 SAM RITTENBERG BLVD STE 8, CHARLESTON, SC 29407-3362
(502) 394-2100
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0899
—
SC
Enumeration date
12/11/2009
Last updated
03/19/2026
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