Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southern Professional Home Care LLC

Q: What is the NPI number for Southern Professional Home Care LLC?

The NPI for Southern Professional Home Care LLC is 1790465342, a Type 2 (organization) record in the CMS NPPES registry.

Home Health Agency in Greenville, SC · enumerated 2023 · authorized official Gwendolyn Jackson, Administrator/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790465342

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Registry record

Entity type Organization (Type 2)

Legal business name Southern Professional Home Care LLC

Practice address 1200 Woodruff Rd Ste A3, Greenville, SC, 29607

Phone (864) 419-0167

Fax (864) 213-6317

Enumeration date Jul 19, 2023

Last updated in NPPES Jul 19, 2023

Taxonomy & classification

251E00000X Home Health Agency Agencies Primary

Authorized official

Name Gwendolyn Jackson

Title Administrator/Ceo

Phone (864) 419-0167

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Southern Professional Home Care LLC?

The NPI for Southern Professional Home Care LLC is 1790465342, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Southern Professional Home Care LLC?

NPPES lists Gwendolyn Jackson (Administrator/Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-19.