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SOUTHERNCARE INC. NPI 1578501953


NPI Information

NPI: 1578501953
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE DAPHNE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
26179 CAPITAL DR
SUITE A
DAPHNE, AL
ZIP 36526
Phone: (251) 621-2844
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SOUTHERNCARE, INC. is a hospice care community based in Daphne, AL. SOUTHERNCARE, INC. NPI is 1578501953. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Daphne.

The provider's business location address is:

26179 CAPITAL DR
SUITE A
DAPHNE, AL
ZIP 36526-195
Phone: (251) 621-2844
Fax: (251) 621-2845

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 6/4/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedALABAMANo
2251G00000XHospice Care, Community Based10521ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1011653MEDICARE OSCAR/CERTIFICATION
201-1653MEDICARE PINALABAMA
3PIC1653EMEDICAIDALABAMA

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

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