SOUTHERNCARE, INC. (NPI# 1093741282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093741282 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE MEADVILLE |
| Practice Address |
1119 Park Ave Ste 7 Meadville PA 16335-3107 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 8143364660 |
| Practice Fax Number | 8143363378 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | RICHARD HALL (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7046642876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | PA | Agencies | |
| Y | 251G00000X | Hospice Care, Community Based | 16811601 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE NUMBER | 16811601 | 01 |
| PA | 00890434000 | 05 | |
| PA | 1008904340007 | 05 |
| Other Name | Type Code |
|---|---|
| Kindred Hospice | Doing Business As Name - Organization |
| SouthernCare Meadville | 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 |
| 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 |
| 1982645693 | Southerncare, Inc. | Hospice Care, Community Based | 927 Highway 80 West, Demopolis, AL 36732-4102 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHERNCARE, INC. | 3536 Vann Rd, Birmingham, AL 35235 |
| Street Address |
1119 PARK AVE STE 7 |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629045059 | Hospice of Crawford County Inc | Hospice Care, Community Based | 464 Pine Street, Meadville, PA 16335-2988 | 2006-03-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.