SOUTHERNCARE INC. NPI 1134167398

NPI Information

NPI: 1134167398
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE GREENVILLE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
6000 PELHAM RD
SUITE B
GREENVILLE, SC
ZIP 29615
Phone: (864) 351-0740
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SOUTHERNCARE, INC. is a hospice care community based in Greenville, SC. SOUTHERNCARE, INC. NPI is 1134167398. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Greenville.

The provider's business location address is:

6000 PELHAM RD
SUITE B
GREENVILLE, SC
ZIP 29615-845
Phone: (864) 351-0740
Fax: (864) 351-0746

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 6/2/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		HPC083	SOUTH CAROLINA	No
2	251G00000X	Hospice Care, Community Based		HPC-0083	SOUTH CAROLINA	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
1	421538	MEDICARE OSCAR/CERTIFICATION
2	HSP042	MEDICAID	SOUTH CAROLINA
3	HSP 042	MEDICAID	SOUTH CAROLINA
4	42-1538	MEDICARE PIN	SOUTH CAROLINA

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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