SOUTHERNCARE INC. NPI 1932149309

NPI Information

NPI: 1932149309
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE MADISON

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
402 GAMMON PLACE
SUITE 110
MADISON, WI
ZIP 53719
Phone: (608) 833-3295
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SOUTHERNCARE, INC. is a hospice care community based in Madison, WI. SOUTHERNCARE, INC. NPI is 1932149309. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Madison.

The provider's business location address is:

402 GAMMON PLACE
SUITE 110
MADISON, WI
ZIP 53719-065
Phone: (608) 833-3295
Fax: (608) 833-3429

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 6/7/2006 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				No
2	251G00000X	Hospice Care, Community Based		2020	WISCONSIN	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	Other Provider Identifier Issuer
1	2020	OTHER	WISCONSIN	STATE LICENSE
2	4319100	MEDICAID	WISCONSIN
3	521584	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
4	52-1584	MEDICARE PIN	WISCONSIN

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

NPI Synchronization or Removal

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