Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Professional Home Care LLC

Organization Home Health Agency · NPI 1790465342

Southern Professional Home Care LLC is a Home Health Agency in Greenville, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732
Phone: (864) 419-0167
Fax: (864) 213-6317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1790465342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwendolyn Jackson — Administrator/Ceo · (864) 419-0167
Other names Southern Professional Home Care Llc
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732

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