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SOUTHERNCARE INC. NPI 1477592269


NPI Information

NPI: 1477592269
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE HUNTSVILLE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4769 WHITESBURG
SUITE 202
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 881-2782
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SOUTHERNCARE, INC. is a hospice care community based in Huntsville, AL. SOUTHERNCARE, INC. NPI is 1477592269. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Huntsville.

The provider's business location address is:

4769 WHITESBURG
SUITE 202
HUNTSVILLE, AL
ZIP 35802-684
Phone: (256) 881-2782
Fax: (256) 881-8457

The provider's authorized official is Douglas J Abell .
The authorized official title is Chief Compliance Officer and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 1/20/2015.


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 Based11698ALABAMANo
2251G00000XHospice Care, Community Based10528ALABAMAYes

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
1PIC1573EMEDICAIDALABAMA
201-1573MEDICARE PINALABAMA
3011573MEDICARE OSCAR/CERTIFICATION

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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