SOUTHERNCARE, INC (NPI# 1568401511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568401511 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC |
| Other Organization Name | SOUTHERNCARE TULSA |
| Practice Address |
6711 S Yale Ave Tulsa OK 74136-3313 |
| Mailing Address |
3536 Vann Rd Birmingham AL 35235-3221 |
| Practice Telephone | 9184998755 |
| Practice Fax Number | 9184998725 |
| Mailing Telephone | 2056554809 |
| Mailing Fax Number | 2056550587 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | MR. MICHAEL J. PARDY (PRESIDENT) |
| Authorized Official Telephone | 2056554809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| SOUTHERNCARE TULSA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881874733 | Southerncare, Inc | Hospice Care, Community Based | 20 Arena Way, Suite 107, Council Bluffs, IA 51501-7064 | 2007-11-08 |
| 1952581803 | Southerncare, Inc | Hospice Care, Community Based | 1990 S Frontage Rd Ste I, Vicksburg, MS 39180-5232 | 2007-11-08 |
| 1821214891 | Southerncare, Inc | Hospice Care, Community Based | 4114 Sunset Dr, San Angelo, TX 76904-5614 | 2007-04-18 |
| 1689890642 | Southerncare, Inc | Hospice Care, Community Based | 5005 Bowling St Sw, Ste 3, Cedar Rapids, IA 52404-5070 | 2007-04-18 |
| 1457391807 | Southerncare, Inc | Hospice Care, Community Based | 4323 Nw 63rd St, Ste 200, Oklahoma City, OK 73116-1547 | 2006-06-07 |
| 1437330230 | Southerncare, Inc | Hospice Care, Community Based | 535 Route 38, Ste 134, Cherry Hill, NJ 08002-2953 | 2007-11-20 |
| 1326072646 | Southerncare, Inc | Hospice Care, Community Based | 4330 Highway 78 E, Suite 210 & 211, Jasper, AL 35501-8905 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHERNCARE, INC. | 3536 Vann Rd, Birmingham, AL 35235 |
| Street Address |
6711 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346200177 | Gayle Derington | Family Medicine | 6711 S Yale Ave, Ste 202, Tulsa, OK 74136-3313 | 2006-03-24 |
| 1669425187 | E Plus Pet Imaging Vi Lp | Clinic/Center | 6711 S Yale Ave, Suite 104, Tulsa, OK 74136-3313 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1255877718 | Traditions Hospice of Tulsa, LLC | Hospice Care, Community Based | 2221 E Skelly Dr, Tulsa, OK 74105-5913 | 2017-01-09 |
| 1962761833 | Millennium Hospice, Inc. | Hospice Care, Community Based | 12129 E. Skelly Dr., Tulsa, OK 74128-2410 | 2012-05-11 |
| 1629337183 | Infinity Life Care LLC | Hospice Care, Community Based | 1216 N Lansing Ave, Suite D, Tulsa, OK 74106-5933 | 2012-05-03 |
| 1376672964 | Allcare Hospice, Inc. | Hospice Care, Community Based | 4608 S Garnett Rd Ste 501, Tulsa, OK 74146 | 2007-03-02 |
| 1255478186 | Infinity Care Hospice LLC | Hospice Care, Community Based | 6914 S Yorktown Ave Ste 115, Tulsa, OK 74136-3900 | 2007-01-31 |
| 1780738484 | Hospice of Northeast Oklahoma, LLC | Hospice Care, Community Based | 9920 E 42nd St, Suite 201, Tulsa, OK 74146-3651 | 2007-01-22 |
| 1942350160 | Zomico, Inc. | Hospice Care, Community Based | 4125 S. Mingo, Tulsa, OK 74146 | 2007-01-11 |
| 1740339548 | Evergreen Hospice LLC | Hospice Care, Community Based | 9902 E 43rd St, Suite B, Tulsa, OK 74146-4756 | 2007-01-09 |
| 1770630055 | Senior World Inc | Hospice Care, Community Based | 124 N Greenwood Ave, Tulsa, OK 74120-1409 | 2007-01-05 |
| Find all providers in TULSA | ||||
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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.