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SOUTHERNCARE INC. NPI 1104864198


NPI Information

NPI: 1104864198
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE YOUNGSTOWN

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
970 WINDHAM CT STE 9
YOUNGSTOWN, OH
ZIP 44512
Phone: (330) 797-8940
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SOUTHERNCARE, INC. is a hospice care community based in Youngstown, OH. SOUTHERNCARE, INC. NPI is 1104864198. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Youngstown.

The provider's business location address is:

970 WINDHAM CT STE 9
YOUNGSTOWN, OH
ZIP 44512-082
Phone: (330) 797-8940
Fax: (330) 797-8943

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 662-1761.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 6/22/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based0140HSPOHIOYes

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
12507264MEDICAIDOHIO

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

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