SOUTHERNCARE, INC.


Address: 1544 E 3rd St, Ste 2, Williamsport, PA 17701-5404
Phone: 5703231690

SOUTHERNCARE, INC. (NPI# 1194763037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based 16581601 PA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 00890434000 05
PA 1008904340004 05

Other Provider/Organization Names

Other Name Type Code
SouthernCare Williamsport Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations SOUTHERNCARE, INC. 3536 Vann Rd, Birmingham, AL 35235

Office Location

Street Address 1544 E 3RD ST
STE 2
City WILLIAMSPORT
State PA
Zip Code 17701-5404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821410234 Pediatric Services of America, Inc Nursing Care 1544 E 3rd St, Williamsport, PA 17701-5404 2014-01-21

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WILLIAMSPORT
Zip Code 17701

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Dataset Information

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.

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