SOUTHERNCARE INC. NPI 1609817311

NPI Information

NPI: 1609817311
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE EVANSVILLE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
12251C HIGHWAY 41 N
EVANSVILLE, IN
ZIP 47725
Phone: (812) 867-6834
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SOUTHERNCARE, INC. is a hospice care community based in Evansville, IN. SOUTHERNCARE, INC. NPI is 1609817311. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Evansville.

The provider's business location address is:

12251C HIGHWAY 41 N
EVANSVILLE, IN
ZIP 47725-014
Phone: (812) 867-6834
Fax: (812) 867-8061

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 6/10/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		050033211	INDIANA	No
2	251G00000X	Hospice Care, Community Based		14-003321-1	INDIANA	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	200406650A	MEDICAID	INDIANA
2	15-1578	MEDICARE PIN	INDIANA
3	151578	MEDICARE 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: 5/5/2024

NPI Synchronization or Removal

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