SOUTHERNCARE INC. NPI 1902848443

NPI Information

NPI: 1902848443
Provider Name: SOUTHERNCARE, INC.

Doing Business As: GENTIVA II

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
5330 PETERS CREEK ROAD NW
SUITE D-1
ROANOKE, VA
ZIP 24019
Phone: (540) 366-0927
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SOUTHERNCARE, INC. is a hospice care community based in Roanoke, VA. SOUTHERNCARE, INC. NPI is 1902848443. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva Ii.

The provider's business location address is:

5330 PETERS CREEK ROAD NW
SUITE D-1
ROANOKE, VA
ZIP 24019-853
Phone: (540) 366-0927
Fax: (540) 366-0989

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 1/17/2023.

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		HSP 130	VIRGINIA	No
2	251G00000X	Hospice Care, Community Based		HSP14130	VIRGINIA	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	010299098	MEDICAID	VIRGINIA

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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