SOUTHERNCARE, INC. (NPI# 1194763037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194763037 |
Entity Type | Organization |
Organization Name | SOUTHERNCARE, INC. |
Other Organization Name | SOUTHERNCARE WILLIAMSPORT |
Practice Address |
1544 E 3rd St Ste 2 Williamsport PA 17701-5404 |
Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
Practice Telephone | 5703231690 |
Practice Fax Number | 5703231693 |
Mailing Telephone | 7046642876 |
Mailing Fax Number | 7046621306 |
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 |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 16581601 | PA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 00890434000 | 05 | |
PA | 1008904340004 | 05 |
Other Name | Type Code |
---|---|
SouthernCare Williamsport | 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 |
---|---|---|
Oklahoma Business Registrations | SOUTHERNCARE, INC. | 3536 Vann Rd, Birmingham, AL 35235 |
Street Address |
1544 E 3RD ST STE 2 |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-5404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821410234 | Pediatric Services of America, Inc | Nursing Care | 1544 E 3rd St, Williamsport, PA 17701-5404 | 2014-01-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336234939 | In Home Health LLC | Hospice Care, Community Based | 101 Leader Drive, Williamsport, PA 17701 | 2006-10-03 |
1134614621 | Upmc Home Healthcare of Central Pennsylvania | Hospice Care, Community Based | 1100 Grampian Boulevard, Four South, Williamsport, PA 17701 | 2018-06-27 |
1942626569 | Celtic Hospice & Palliative Care Services of Nc Pa, LLC | Hospice Care, Community Based | 500 Pine St, Suite 3, Williamsport, PA 17701-5068 | 2014-03-06 |
1568401743 | Divine Providence Hospital of The Sisters of Christian Charity | Hospice Care, Community Based | 1100 Grampian Blvd, 4 South, Williamsport, PA 17701-1909 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932707205 | Franklin Hospice LLC | Hospice Care, Community Based | 209 Grant St, Chambersburg, PA 17201-1627 | 2020-10-09 |
1356948731 | Ennoble Care of Pennsylvania LLC | Hospice Care, Community Based | 1650 Market St Ste 2600, Philadelphia, PA 19103-7301 | 2020-10-08 |
1134744618 | Angelic Health of Pa LLC | Hospice Care, Community Based | 5 Neshaminy Interplex Dr Ste 205, Trevose, PA 19053-6932 | 2020-06-10 |
1013538891 | Vital Alliance Home Care | Hospice Care, Community Based | 3629 Whitehall Ln, Philadelphia, PA 19114-1826 | 2020-05-02 |
1912526344 | Philadelphia Family Home Care LLC | Hospice Care, Community Based | 1320 N Franklin St, Philadelphia, PA 19122-4590 | 2020-04-15 |
1366071789 | Benevolent Touch Home Healthcare Agency | Hospice Care, Community Based | 6439 Greene St Apt C9, Philadelphia, PA 19119-3236 | 2020-04-07 |
1821626292 | Unitedhomecareservicesllc | Hospice Care, Community Based | 2137 Embassy Dr Ste 206, Lancaster, PA 17603-2877 | 2020-03-31 |
1336788637 | Premier Healthcare Services, LLC | Hospice Care, Community Based | 907 Irvington Pl, Chester, PA 19013-5215 | 2020-01-03 |
1336783323 | Commonwealth Hospice LLC | Hospice Care, Community Based | 4955 Steubenville Pike Ste 125, Pittsburgh, PA 15205-9699 | 2019-11-01 |
1568024461 | Errands On The Go | Hospice Care, Community Based | 3505 W Moreland Rd Apt Dx123, Willow Grove, PA 19090-3877 | 2019-07-01 |
Find all providers with the same taxonomy |
City | WILLIAMSPORT |
Zip Code | 17701 |
Please comment or provide details below to improve the information on SOUTHERNCARE, INC..
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.