SOUTHERNCARE, INC. (NPI# 1457390841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457390841 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE WASHINGTON |
| Practice Address |
90 W Chestnut St Suite 500 Washington PA 15301-4524 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 7242227425 |
| Practice Fax Number | 7242227428 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046621306 |
| Enumeration Date | 2006-06-04 |
| 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 | 16651601 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1008904340005 | 05 | |
| PA | 00890434000 | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Washington | 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 |
90 W CHESTNUT ST SUITE 500 |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665198 | Brenda S Cole | Psychologist | 90 W Chestnut St, Suite 609, Washington, PA 15301-4524 | 2006-01-27 |
| 1801431374 | Lan Thanh Diep Griffith | Counselor | 90 W Chestnut St, Washington, PA 15301-4524 | 2019-11-08 |
| 1730549098 | Forward Focus, PC | General Practice | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2016-03-01 |
| 1811393358 | Theresa Cypher | Counselor | 90 W Chestnut St, Ste.510, Washington, PA 15301-4524 | 2014-11-11 |
| 1407105695 | William Daniel Trusnovic Jr. | General Practice | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2012-09-04 |
| 1720385610 | Hilary Falo | Nurse Practitioner | 90 W Chestnut St, Suite 400, Washington, PA 15301-4524 | 2011-02-11 |
| 1184948804 | Lisbeth Eleanor Mihok | Counselor | 90 W Chestnut St, Ste. 900, Washington, PA 15301-4524 | 2010-03-24 |
| 1518116508 | Stacey Lynn Antonucci | Nurse Practitioner | 90 W Chestnut St, Washington, PA 15301-4524 | 2008-09-15 |
| 1669656088 | Associates In Oral and Maxillofacial Surgery | Dentist | 90 W Chestnut St, Suite #125 Ll, Washington, PA 15301-4524 | 2007-12-20 |
| 1386794451 | Washington Drug and Alcohol Commission Inc | Case Management | 90 W Chestnut St, Suite 310, Washington, PA 15301 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1770648131 | Harpers Personal Care Home, Inc. | Hospice Care, Community Based | 186 Bootlegger Ln E, Washington, GA 30673-5364 | 2006-12-26 |
| 1114038296 | Vitas Healthcare Corporation Atlantic | Hospice Care, Community Based | 1200 1st St Ne, Suite 320, Washington, DC 20002-3361 | 2006-08-31 |
| 1790706935 | Capital Hospice | Hospice Care, Community Based | 4401 Connecticut Ave Nw, Suite 700, Washington, DC 20008-2322 | 2006-07-22 |
| 1235120239 | The Washington Home & Community Hospices Inc | Hospice Care, Community Based | 1875 Connecticut Ave Nw Ste 540, Washington, DC 20009-5738 | 2005-10-31 |
| 1942202452 | Hospice of Washington County Inc | Hospice Care, Community Based | 948 E 11th St, Washington, IA 52353-2633 | 2005-08-15 |
| 1033452115 | Professional Healthcare Resources | Hospice Care, Community Based | 1010 Wisconsin Ave Nw, Suite 300, Washington, DC 20007-3603 | 2013-03-27 |
| 1699048082 | Hospice of Washington Dc, LLC | Hospice Care, Community Based | 1310 Southern Ave Se, Suite 2005, Washington, DC 20032-4623 | 2012-02-15 |
| 1538480991 | Albert Gallatin Home Care and Hospice Services, L.L.C. | Hospice Care, Community Based | 480 Johnson Rd, Suite 230, Washington, PA 15301-8936 | 2010-06-18 |
| 1922320076 | Professional Healthcare Resources of Washington Dc, Inc | Hospice Care, Community Based | 501 School St Sw, Suite 200, Washington, DC 20024-2754 | 2010-02-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.