SOUTHERNCARE, INC (NPI# 1689890642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689890642 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC |
| Other Organization Name | SOUTHERNCARE CEDAR RAPIDS |
| Practice Address |
5005 Bowling St Sw Ste 3 Cedar Rapids IA 52404-5070 |
| Mailing Address |
3536 Vann Rd Birmingham AL 35235-3221 |
| Practice Telephone | 3193642204 |
| Practice Fax Number | 3193644933 |
| Mailing Telephone | 2056554809 |
| Mailing Fax Number | 2056550587 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | 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 | IA | Agencies |
| Other Name | Type Code |
|---|---|
| SouthernCare Cedar Rapids | 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 |
| 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 |
| 1568401511 | Southerncare, Inc | Hospice Care, Community Based | 6711 S Yale Ave, Tulsa, OK 74136-3313 | 2006-06-05 |
| 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 |
5005 BOWLING ST SW STE 3 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52404-5070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063710051 | Natalie J Storm | Marriage & Family Therapist | 5005 Bowling St Sw, Suite B, Cedar Rapids, IA 52404-5070 | 2011-03-01 |
| 1629222153 | Kathrine Rachel Beckman | Social Worker | 5005 Bowling St Sw, Suite B, Cedar Rapids, IA 52404-5070 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1528617313 | Humble Language Institute | Interpreter | 3513 Royal Dr. Sw, Cedar Rapids, IA 52404 | 2019-09-05 |
| 1073169074 | Jackie Lugene Mcfetridge | Technician | 3528 Falcon View Rd Sw, Cedar Rapids, IA 52404 | 2019-08-15 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1659859569 | Wanda Marie Mokry-sellers | Counselor | 3601 16th Avenue Sw, Cedar Rapids, IA 52404 | 2018-08-02 |
| 1790231371 | Freddie Lederle | Taxi | 3260 Southgate Place, Cedar Rapids, IA 52404 | 2016-09-01 |
| 1619422748 | Mercy Physician Associates, Inc | Family Medicine | 777 76th Ave Dr Sw, Cedar Rapids, IA 52404 | 2016-08-18 |
| 1740638626 | Lasharon Leah Taylor | Counselor | 3330 Southgate Ct Sw, Cedar Rapids, IA 52404 | 2016-06-01 |
| 1689094112 | Pathway Counseling Center | Clinic/Center | 1073 Rockford Rd Se, Suite E, Cedar Rapids, IA 52404 | 2014-04-23 |
| Find all providers in zip 52404 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1588191829 | Unitypoint At Home | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 | 2017-05-17 |
| 1336462399 | Supplemental Health Care | Hospice Care, Community Based | 4202 Old Oak Dr Ne, Cedar Rapids, IA 52411-6772 | 2010-03-04 |
| 1831344944 | Iowa Hopsice, LLC | Hospice Care, Community Based | 800 1st Ave Ne, Cedar Rapids, IA 52402-5006 | 2008-11-18 |
| 1447342100 | St Luke's Methodist Hospital | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne, Suite 100, Cedar Rapids, IA 52402-1618 | 2006-09-29 |
| 1003813908 | Amenity Healthcare, LLC | Hospice Care, Community Based | 5005 Bowling St Sw Ste B, Cedar Rapids, IA 52404-5070 | 2005-07-07 |
| 1457517955 | Care Initiatives | Hospice Care, Community Based | 3720 Queen Ct Sw, Suite 9, Cedar Rapids, IA 52404 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665603 | Hillcrest Hospice LLC | Hospice Care, Community Based | 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 | 2020-09-30 |
| 1144868928 | Physmed Iowa LLC | Hospice Care, Community Based | 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 | 2019-12-12 |
| 1750926481 | Moments Hospice of Des Moines LLC | Hospice Care, Community Based | 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 | 2019-11-18 |
| 1285197160 | Visiting Nurse Services of Iowa | Hospice Care, Community Based | 118 N. Main Street, Mount Pleasant, IA 52641-2052 | 2019-04-09 |
| 1053877332 | Cedar Valley Hospice, LLC | Hospice Care, Community Based | 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 | 2019-02-12 |
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1043757495 | Avalon Hospice Iowa, LLC | Hospice Care, Community Based | 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 | 2017-01-24 |
| 1023401254 | Hospice of The Midwest, LLC | Hospice Care, Community Based | 9203 Northpark Dr, Johnston, IA 50131-2933 | 2015-03-12 |
| 1417350265 | Suncrest Hospice, LLC | Hospice Care, Community Based | 5959 Village View Dr Ste 100, West Des Moines, IA 50266-3845 | 2014-10-07 |
| 1659786259 | St Croix Hospice LLC | Hospice Care, Community Based | 1015 S Grand Ave, Spencer, IA 51301-5722 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52404 |
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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.