SOUTHERNCARE INC. NPI 1295773273

NPI Information

NPI: 1295773273
Provider Name: SOUTHERNCARE, INC.

Doing Business As: AVALON HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
5375 SW 7TH ST STE 500
TOPEKA, KS
ZIP 66606
Phone: (785) 246-6520
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SOUTHERNCARE, INC. is a hospice care community based in Topeka, KS. SOUTHERNCARE, INC. NPI is 1295773273. The provider is registered as an organization entity type.
The provider Is Doing Business As Avalon Hospice.

The provider's business location address is:

5375 SW 7TH ST STE 500
TOPEKA, KS
ZIP 66606-553
Phone: (785) 246-6520
Fax: (785) 506-8816

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 6/3/2006 and was last updated on 3/17/2018.

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			KANSAS	No
2	251G00000X	Hospice Care, Community Based				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	Other Provider Identifier Issuer
1	100644490A	MEDICAID	KANSAS

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: 11/14/2023

NPI Synchronization or Removal

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