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SOUTHERNCARE INC. NPI 1982645693


NPI Information

NPI: 1982645693
Provider Name: SOUTHERNCARE, INC.

Doing Business As: SOUTHERNCARE DEMOPOLIS

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
927 HIGHWAY 80 WEST
DEMOPOLIS, AL
ZIP 36732
Phone: (334) 289-9522
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SOUTHERNCARE, INC. is a hospice care community based in Demopolis, AL. SOUTHERNCARE, INC. NPI is 1982645693. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Demopolis.

The provider's business location address is:

927 HIGHWAY 80 WEST
DEMOPOLIS, AL
ZIP 36732-102
Phone: (334) 289-9522
Fax: (334) 289-1358

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 6/10/2006 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 Based11704ALABAMANo
2251G00000XHospice Care, Community Based10522ALABAMAYes

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
101-1578MEDICARE PINALABAMA
2PIC1578EMEDICAIDALABAMA
3011578MEDICARE 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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