SOUTHERNCARE, INC.


Address: 8195a Woolmarket Rd, Biloxi, MS 39532-8147
Phone: 8149779724

SOUTHERNCARE, INC. (NPI# 1053350850) 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) 1053350850
Entity Type Organization
Organization Name SOUTHERNCARE, INC.
Other Organization Name SOUTHERNCARE BILOXI
Practice Address 8195a Woolmarket Rd
Biloxi
MS 39532-8147
Mailing Address 655 Brawley School Rd
Suite 200
Mooresville
NC 28117-9125
Practice Telephone 8149779724
Practice Fax Number 8149449727
Mailing Telephone 7046642876
Mailing Fax Number 7046621306
Enumeration Date 2006-06-06
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 039 MS Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MS 00770379 05
MS 770379 05

Other Provider/Organization Names

Other Name Type Code
SouthernCare Biloxi 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 8195A WOOLMARKET RD
City BILOXI
State MS
Zip Code 39532-8147

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427693613 Bloom Mental Health LLC Nurse Practitioner 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 2019-11-12
1003397530 The National Diabetes & Obesity Research Institute At Tradition, Missi Dietitian, Registered 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 2018-08-23
1134588999 Victoria Leonard Scott Counselor 6905 Gregory Dr, Biloxi, MS 39532 2016-02-22
1639552490 Laura O'keefe Nurse Practitioner 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 2015-06-29
1659767150 D'iberville Home Program LLC Clinic/Center 14215 Cook Road, Biloxi, MS 39532 2015-04-10
1467842476 Alicia Michelle Mcdaniel Nurse Practitioner 14209 Cook Rd Suite 200, Biloxi, MS 39532 2015-01-28
1437402393 Lisa Q. Brown Occupational Therapist 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 2012-10-17
1962759381 Joshua Shumway Physical Therapist 220 Ploesti Dr, Keesler Afb, MS 39532 2012-08-06
1386912483 Polk's Crossgates Discount Drugs Inc. Pharmacy 1845 Popps Ferry Road, Biloxi, MS 39532 2011-12-05
1346566957 Kerri Lyn Manjarrez Social Worker 12304 Tiffany Lane, Biloxi, MS 39532 2010-04-08
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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
1144792425 Traditions Hospice of Biloxi, LLC Hospice Care, Community Based 243 Beauvoir Road, Suite B, Biloxi, MS 39531 2018-12-26
1538517883 Palladium Hospice and Palliative Care, LLC Hospice Care, Community Based 993 Tommy Munro Dr Ste C, Biloxi, MS 39532-2133 2016-05-27
1477935013 South Mississippi Home Health, Inc. Hospice Care, Community Based 2556 Marcia Ct, Suite 101, Biloxi, MS 39531-2352 2015-06-19
1174607592 Quality Hospice of The Gulf Coast, Inc. Hospice Care, Community Based 999 Howard Ave, Suite One, Biloxi, MS 39530-3756 2006-10-24
1699776245 Odyssey Healthcare Operating B, Lp Hospice Care, Community Based 962 Tommy Munro Drive, Suite D&e, Biloxi, MS 39532-2130 2005-08-04
1881973469 Hospice Advantage, LLC. Hospice Care, Community Based 250 Beauvoir Rd, Biloxi, MS 39531-4026 2011-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033719893 Reformation, LLC Hospice Care, Community Based 5870 Belmont Rd, Hernando, MS 38632-9013 2020-10-29
1629619051 Daniel Campbell Hospice Care, Community Based 721 S Church St, Brookhaven, MS 39601-3811 2019-10-07
1821514175 Infinity Hospice Care,inc Hospice Care, Community Based 110 S Pearl St, Carthage, MS 39051-4132 2017-08-18
1023530904 Solace Hospice Inc Hospice Care, Community Based 215 Highway 26 E, Poplarville, MS 39470-3109 2017-07-12
1265961940 Palladium Hospice and Palliative Care, LLC Hospice Care, Community Based 695 Shamrock Dr, Batesville, MS 38606-2256 2017-06-07
1740719418 Palladium Hospice and Palliative Care, LLC Hospice Care, Community Based 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 2017-06-07
1508393646 Lhcg C, LLC Hospice Care, Community Based 2309 Bluecutt Rd Ste B, Columbus, MS 39705-1305 2017-05-19
1104357177 Heart of Hospice, LLC Hospice Care, Community Based 135 Bounds St, Ste C, Jackson, MS 39206-4121 2017-03-22
1275064255 Heart of Hospice, LLC Hospice Care, Community Based 9849 Highway 178 Unit B, Olive Branch, MS 38654 2017-03-22
1245761212 Heart of Hospice LLC Hospice Care, Community Based 810 E Sunflower Rd Ste 100c, Cleveland, MS 38732-2828 2017-03-22
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Competitor

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City BILOXI
Zip Code 39532

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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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