NPI 1144966581

Southern Comfort Health Care Services LLC

Organisation In Home Supportive Care Agency Grand Prairie, TX

Practice location

Address: 2100 N Hwy 360 STE 1201, Grand Prairie, TX 75050-8708
Phone: (570) 688-8490
Fax: (214) 593-5615

Authorised official

Name: Timothy Moana Wilson
Title: Ceo
Phone: (570) 688-8490

Registered specialties (6)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1144966581
Entity type: Organization
NPI issued: 9 May 2022
Record last updated: 29 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.