SOUTHERNCARE INC. NPI 1033151550

NPI Information

NPI: 1033151550
Provider Name: SOUTHERNCARE, INC.

Doing Business As: GENTIVA II

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
420 NEFF AVENUE
SUITE 110
HARRISONBURG, VA
ZIP 22801
Phone: (540) 801-0406
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SOUTHERNCARE, INC. is a hospice care community based in Harrisonburg, VA. SOUTHERNCARE, INC. NPI is 1033151550. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva Ii.

The provider's business location address is:

420 NEFF AVENUE
SUITE 110
HARRISONBURG, VA
ZIP 22801-435
Phone: (540) 801-0406
Fax: (540) 801-0409

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				No
2	251G00000X	Hospice Care, Community Based		HSP14139	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	1033151550	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: 5/5/2024

NPI Synchronization or Removal

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