SOUTHERNCARE INC (NPI# 1003854522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003854522 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE INC |
| Other Organization Name | SOUTHERNCARE YAZOO CITY SATELLITE OFFICE OF SOUTHERNCARE JACKSON |
| Practice Address |
110 N Jerry Clower Blvd Ste B Yazoo City MS 39194-8669 |
| Mailing Address |
2204 Lakeshore Dr Suite 475 Birmingham AL 35209-6705 |
| Practice Telephone | 6627461803 |
| Practice Fax Number | 6627467937 |
| Mailing Telephone | 2058684400 |
| Mailing Fax Number | 2058684401 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | MR. MICHAEL J PARSONS (CEO PRESIDENT) |
| Authorized Official Telephone | 2058684400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770385 | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Yazoo City Satellite Office of SouthernCare Jackson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134150931 | Southerncare Inc | Hospice Care, Community Based | 68853550 Hulen Street, Ste B, Fort Worth, TX 76107-6885 | 2006-07-06 |
| 1366483091 | Southerncare Inc | Hospice Care, Community Based | 2360 Pepperell Pkwy, Opelika, AL 36801-6240 | 2006-06-10 |
| 1699715474 | Southerncare Inc | Hospice Care, Community Based | 220 N Plaza Blvd, Chillicothe, OH 45601-1787 | 2006-06-08 |
| 1134169642 | Southerncare Inc | Hospice Care, Community Based | 4781 South Main Street, Stafford, TX 77477-4723 | 2006-06-07 |
| 1801835608 | Southerncare Inc | Hospice Care, Community Based | 27 Maple Ridge Dr, Ste A, Cartersville, GA 30121-2293 | 2006-06-06 |
| 1487693354 | Southerncare Inc | Hospice Care, Community Based | 8560 Holcomb Bridge Rd, Ste 110, Alpharetta, GA 30022-5988 | 2006-06-06 |
| 1194763573 | Southerncare Inc | Hospice Care, Community Based | 2780 Commerce Dr, Suite 100, Middletown, PA 17057-3245 | 2006-06-04 |
| 1558309930 | Southerncare Inc | Hospice Care, Community Based | 3100 Cottage Hill Rd, Ste 112 & 117, Mobile, AL 36606-2913 | 2006-06-04 |
| 1508804279 | Southerncare Inc | Hospice Care, Community Based | 3321 South Crater Road, Petersburg, VA 23805 | 2006-06-03 |
| 1518905777 | Southerncare Inc | Hospice Care, Community Based | 2258 Schultz Rd, Ste 116 & 118, St Louis, MO 63146-3424 | 2006-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SouthernCare Inc. | 655 Brawley School Road, Ste 200, Mooresville, North Carolina 28117 |
| North Carolina Corporations | Southerncare Inc. | 2 South Salisbury Street, Raleigh, NC 27601 |
| Street Address |
110 N JERRY CLOWER BLVD STE B |
| City | YAZOO CITY |
| State | MS |
| Zip Code | 39194-8669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376819748 | Janae Harris White | Nurse Practitioner | 110 N Jerry Clower Blvd, Suite M, Yazoo City, MS 39194-5144 | 2012-03-29 |
| 1013233857 | Vibha Vig Md Pa | Clinic/Center | 110 N Jerry Clower Blvd, Suite M, Yazoo City, MS 39194-8669 | 2010-04-19 |
| 1376717215 | Dr. David J. Parker, Jr. | Optometrist | 110 N Jerry Clower Blvd, Suite H, Yazoo City, MS 39194-8669 | 2008-04-22 |
| 1215128046 | G A Carmichael Family Health Center, Inc. | Dentist | 110 N Jerry Clower Blvd, Yazoo City, MS 39194 | 2007-08-07 |
| 1922162007 | David J Parker Jr. | Optometrist | 110 N Jerry Clower Blvd, Ste H, Yazoo City, MS 39194-8669 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584703 | Aslean Brown | Home Health | 522 Old Benton Rd, Yazoo City, MS 39194 | 2018-10-19 |
| 1326521048 | Hailey Parks Beckwith | Nurse Practitioner | 635 W Willie Morris Pkwy, Yazoo City, MS 39194 | 2018-09-09 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1285049593 | Baptist Medical Center - Yazoo, Inc. | Family Medicine | 307 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1033440268 | Medical Foundation of Central Mississippi | Internal Medicine | 828 Grand Avenue, Yazoo City, MS 39194 | 2010-01-28 |
| 1659537884 | Family Dental Clinic of Yazoo City, LLC | Dentist | 15415 Highway 49 South, Yazoo City, MS 39194 | 2008-08-07 |
| 1245403351 | Eyedeal Optical Yazoo City LLC | Optometrist | 728 East 15th Street, Yazoo City, MS 39194 | 2008-04-09 |
| 1245400423 | Stefanie Patterson Dendy | General Acute Care Hospital | 825 Grand Avenue, Yazoo City, MS 39194 | 2008-03-04 |
| 1144499245 | Martha Coker Home, Inc. | Skilled Nursing Facility | 2041 Grand Avenue, Yazoo City, MS 39194 | 2008-02-22 |
| Find all providers in zip 39194 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205945128 | Magnolia Hospice of Mississippi | Hospice Care, Community Based | 405 E Fifteenth St, Yazoo City, MS 39194-2633 | 2006-08-30 |
| 1851377469 | Home Health Care Services, Inc. | Hospice Care, Community Based | 15359 Highway 49 S, Suite 3, Yazoo City, MS 39194-4517 | 2005-12-16 |
| 1083953608 | First Choice Home Care and Hospice, LLC | Hospice Care, Community Based | 823 Calhoun Ave, Yazoo City, MS 39194-3227 | 2013-02-01 |
| 1326397241 | Cornerstone Palliative and Hospice, LLC | Hospice Care, Community Based | 732 E Fifteenth St, Yazoo City, MS 39194-2706 | 2012-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719893 | Reformation, LLC | Hospice Care, Community Based | 5870 Belmont Rd, Hernando, MS 38632-9013 | 2020-10-29 |
| 1629619051 | Daniel Campbell | Hospice Care, Community Based | 721 S Church St, Brookhaven, MS 39601-3811 | 2019-10-07 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1821514175 | Infinity Hospice Care,inc | Hospice Care, Community Based | 110 S Pearl St, Carthage, MS 39051-4132 | 2017-08-18 |
| 1023530904 | Solace Hospice Inc | Hospice Care, Community Based | 215 Highway 26 E, Poplarville, MS 39470-3109 | 2017-07-12 |
| 1265961940 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 695 Shamrock Dr, Batesville, MS 38606-2256 | 2017-06-07 |
| 1740719418 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 | 2017-06-07 |
| 1508393646 | Lhcg C, LLC | Hospice Care, Community Based | 2309 Bluecutt Rd Ste B, Columbus, MS 39705-1305 | 2017-05-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | YAZOO CITY |
| Zip Code | 39194 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.