SOUTHERNCARE, INC. (NPI# 1205877073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205877073 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE EXCELSIOR SPRINGS |
| Practice Address |
1240 Ne Windsor Dr Lees Summit MO 64086-5594 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 8165243663 |
| Practice Fax Number | 8165243669 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-10 |
| 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 |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 1211H0 | MO | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 121-11HO | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 825315500 | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Excelsior Springs | 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 |
| 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 |
1240 NE WINDSOR DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821471400 | Harbor Hospice of Missouri Lp | Hospice Care, Community Based | 211 Se Grand Ave Ste A, Lees Summit, MO 64063-2847 | 2015-07-01 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1396924783 | Omega Health Care Inc | Hospice Care, Community Based | 3680 Ne Akin Blvd, Suite 140, Lees Summit, MO 64064-7883 | 2007-11-01 |
| 1346337516 | John Knox Village | Hospice Care, Community Based | 1001 Nw Chipman Rd, Suite 239, Lees Summit, MO 64081-3912 | 2006-10-06 |
| 1285696013 | Care Alternatives of Missouri, LLC | Hospice Care, Community Based | 783 Ne Anderson Lane, Lees Summit, MO 64064 | 2006-04-05 |
| 1083010524 | Integrity Hospice of Kansas City, Inc. | Hospice Care, Community Based | 3751 Ne Ralph Powell Rd, Lees Summit, MO 64064-2349 | 2014-11-11 |
| 1609028547 | Omega Health Care of Northwest Missouri, Inc. | Hospice Care, Community Based | 3171 Ne Carnegie Dr, Lees Summit, MO 64064-3215 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558412 | Avimarie Vitality Home Care LLC | Hospice Care, Community Based | 262 Reasor Dr, Saint Louis, MO 63135-1129 | 2020-11-05 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.