SOUTHERNCARE INC. NPI 1255379269

NPI Information

NPI: 1255379269
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE MANSFIELD

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
775 LEXINGTON AVE
SUITE M
MANSFIELD, OH
ZIP 44907
Phone: (419) 774-0555
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SOUTHERNCARE, INC. is a hospice care community based in Mansfield, OH. SOUTHERNCARE, INC. NPI is 1255379269. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Mansfield.

The provider's business location address is:

775 LEXINGTON AVE
SUITE M
MANSFIELD, OH
ZIP 44907-906
Phone: (419) 774-0555
Fax: (419) 774-0155

The provider's authorized official is Jessica Kleberg .
The authorized official title is Vp Of Legal Affairs and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		0142HSP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	361619	MEDICARE OSCAR/CERTIFICATION
2	36-1619	MEDICARE PIN	OHIO
3	2528803	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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