Provider Demographics
NPI:1952924763
Name:SOUTHERN TOUCH HOMEMAKER & COMFORT AGENCY LLC
Entity Type:Organization
Organization Name:SOUTHERN TOUCH HOMEMAKER & COMFORT AGENCY LLC
Other - Org Name:SOUTHERN TOUCH HOMEMAKER & COMFORT AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMALA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-441-2258
Mailing Address - Street 1:501A LUMBERTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-3515
Mailing Address - Country:US
Mailing Address - Phone:601-441-2258
Mailing Address - Fax:601-736-5467
Practice Address - Street 1:501A LUMBERTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-3515
Practice Address - Country:US
Practice Address - Phone:601-441-2258
Practice Address - Fax:601-736-5467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08779854Medicaid