OrganizationActive
Southern Professional Home Care LLC
NPI 1790465342 · Home Health Agency · Greenville, SC
Southern Professional Home Care LLC is a Home Health Agency organization in Greenville, SC (NPI 1790465342).
Provider details
- NPI number
- 1790465342
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gwendolyn Jackson, Administrator/Ceo(864) 419-0167
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732
Phone: (864) 419-0167
Fax: (864) 213-6317
Street-level locationGet directions
Mailing address
1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732
Other names (DBA / former)
- Former legal business name
- Southern Professional Home Care LLC
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Frequently asked questions
- What is Southern Professional Home Care LLC's NPI number?
- Southern Professional Home Care LLC's National Provider Identifier (NPI) is 1790465342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Professional Home Care LLC?
- Southern Professional Home Care LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Southern Professional Home Care LLC located?
- Southern Professional Home Care LLC's practice location on file with NPPES is 1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732.
- What is Southern Professional Home Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Professional Home Care LLC is (864) 419-0167.
- Who is the authorized official for Southern Professional Home Care LLC?
- The authorized official listed on Southern Professional Home Care LLC's NPPES record is Gwendolyn Jackson, Administrator/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Professional Home Care LLC's NPI active?
- Yes — Southern Professional Home Care LLC's NPI (1790465342) is active in the NPPES registry as of the last update on 2023-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.