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SOUTHERN CARE INC NPI 1740228725


NPI Information

NPI: 1740228725
Provider Name: SOUTHERN CARE INC

Doing Business As: SOUTHERN CARE JASPER

Classification: Registered Nurse - 163WH1000X
Entity Type: Organization

Specialization: Hospice

Address:
4330 HWY 78 EAST
STE 210 & 211
JASPER, AL
ZIP 35504
Phone: (205) 387-0249
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SOUTHERN CARE INC is a hospice registered nurse in Jasper, AL. SOUTHERN CARE INC NPI is 1740228725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Care Jasper.

The provider's business location address is:

4330 HWY 78 EAST
STE 210 & 211
JASPER, AL
ZIP 35504
Phone: (205) 387-0249
Fax: (205) 387-0681

The provider's authorized official is Michael J Pardy .
The authorized official title is Ceo President and has the following contact phone number (205) 655-4809.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.


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
1163WH1000XRegistered NurseHospice11076ALABAMAYes

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
1PIC1625EMEDICAIDALABAMA

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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