Provider Type Icon

SOUTHERNCARE INC. NPI 1194763037


NPI Information

NPI: 1194763037
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE WILLIAMSPORT

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1544 E 3RD ST
STE 2
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 323-1690
Get Directions

SOUTHERNCARE, INC. is a hospice care community based in Williamsport, PA. SOUTHERNCARE, INC. NPI is 1194763037. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Williamsport.

The provider's business location address is:

1544 E 3RD ST
STE 2
WILLIAMSPORT, PA
ZIP 17701-404
Phone: (570) 323-1690
Fax: (570) 323-1693

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 6/3/2006 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 Based16581601PENNSYLVANIAYes

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
1391658MEDICARE OSCAR/CERTIFICATION
21008904340004MEDICAIDPENNSYLVANIA
339-1658MEDICARE PINPENNSYLVANIA
400890434000MEDICAIDPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.