SOUTHERNCARE, INC. (NPI# 1013955038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013955038 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE QUAD CITIES |
| Practice Address |
239 Azalea Dr Florence AL 35630-1733 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 2562482320 |
| Practice Fax Number | 2562482325 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
| Authorized Official Telephone | 7046642876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 11633 | AL | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 10531 | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PIC1557E | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Quad Cities | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700399672 | Southerncare, Inc. | Hospice Care, Community Based | 203 Bulifants Blvd Ste B, Williamsburg, VA 23188-5742 | 2017-11-14 |
| 1255467676 | Southerncare, Inc. | Hospice Care, Community Based | 2900 100th St, Suite 103, Urbandale, IA 50322-3857 | 2007-02-27 |
| 1750417523 | Southerncare, Inc. | Hospice Care, Community Based | 9250 Highway 17 Byp, Bldg A, Murrells Inlet, SC 29576-6619 | 2007-02-26 |
| 1093741282 | Southerncare, Inc. | Hospice Care, Community Based | 1119 Park Ave Ste 7, Meadville, PA 16335-3107 | 2006-06-23 |
| 1639112410 | Southerncare, Inc. | Hospice Care, Community Based | 501 E Commerce St, Greenville, AL 36037-2313 | 2006-06-13 |
| 1033151550 | Southerncare, Inc. | Hospice Care, Community Based | 420 Neff Avenue, Suite 110, Harrisonburg, VA 22801-5435 | 2006-06-11 |
| 1902848443 | Southerncare, Inc. | Hospice Care, Community Based | 5330 Peters Creek Road Nw, Suite D-1, Roanoke, VA 24019-3853 | 2006-06-11 |
| 1154362861 | Southerncare, Inc. | Hospice Care, Community Based | 755 Lee St, Suite B, Alexander City, AL 35010-2638 | 2006-06-10 |
| 1205877073 | Southerncare, Inc. | Hospice Care, Community Based | 1240 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-06-10 |
| 1609817311 | Southerncare, Inc. | Hospice Care, Community Based | 12251c Highway 41 N, Evansville, IN 47725-7014 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Southerncare, Inc. | 491 Williamson Road, Suite 204 , Mooresville, NC 28117 |
| Virginia Business Entity | SouthernCare, Inc. | 655 BRAWLEY SCHOOL ROAD STE 200, MOORESVILLE, NC 28117 |
| Street Address |
239 AZALEA DR |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811363302 | Anelime Hospice and Palliative Care | Hospice Care, Community Based | 660 S Pinal Pkwy, Florence, AZ 85132-9726 | 2015-08-19 |
| 1497006431 | Hallmark Hospice of Southern Arizona, LLC | Hospice Care, Community Based | 822 E Saguaro Rd, Florence, AZ 85132 | 2012-10-01 |
| 1679887145 | Addus Healthcare (south Carolina), Inc. | Hospice Care, Community Based | 109 W Laurel St, Florence, SC 29501-5216 | 2010-07-27 |
| 1538342795 | New Beacon Healthcare Group, LLC | Hospice Care, Community Based | 1609 Mockingbird Ct, Unit E, Florence, AL 35630-7510 | 2007-12-11 |
| 1588855399 | Hc Healthcare, LLC | Hospice Care, Community Based | 507 E Dr Hicks Blvd, Florence, AL 35630-5771 | 2007-08-06 |
| 1619083391 | Hospice of Tennessee Valley, Inc. | Hospice Care, Community Based | 200 West Tennessee Street, Florence, AL 35630 | 2006-08-22 |
| 1396767224 | Good Samaritan Hospice Usa Inc | Hospice Care, Community Based | 402 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2006-07-23 |
| 1790724581 | Southerncare, Inc. | Hospice Care, Community Based | 960 Pamplico Hwy, Suite K, Florence, SC 29505-6244 | 2006-06-06 |
| 1750329355 | Hospice of The Shoals, Inc. | Hospice Care, Community Based | 115 Fairground Rd, Florence, AL 35630-1283 | 2006-06-04 |
| 1902844830 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 609 S Coit St, Florence, SC 29501-5222 | 2006-06-03 |
| Find all providers in FLORENCE | ||||
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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.