SOUTHERNCARE, INC. (NPI# 1255379269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255379269 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE MANSFIELD |
| Practice Address |
775 Lexington Ave Suite M Mansfield OH 44907-1906 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 4197740555 |
| Practice Fax Number | 4197740155 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-02 |
| 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 |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 0142HSP | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2528803 | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Mansfield | 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHERNCARE, INC. | 3536 Vann Rd, Birmingham, AL 35235 |
| Street Address |
775 LEXINGTON AVE SUITE M |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675446 | Samantha C Wilde | Social Worker | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2020-06-26 |
| 1558981019 | Timothy Lee Pawlaczyk | Registered Nurse | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2020-04-24 |
| 1700421013 | Brittany J Vantilburg | Case Manager/Care Coordinator | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2019-11-11 |
| 1306491634 | Katherine M Oslie | Social Worker | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2019-08-04 |
| 1255818845 | Amber Ferguson | Case Manager/Care Coordinator | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-07-26 |
| 1881184828 | Michelle A Denny | Behavior Technician | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-05-15 |
| 1841780913 | John Vincent Ajian Jr. | Behavior Technician | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-05-15 |
| 1952891988 | Naomi Ruth Knipp | Behavior Technician | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-05-15 |
| 1467955310 | Rebekah Joy Carroll | Registered Nurse | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2018-03-16 |
| 1992224471 | Sarah Ann Dean | Counselor | 775 Lexington Ave, Mansfield, OH 44907-1906 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568826279 | Lms Hospice, LLC | Hospice Care, Community Based | 733 U.S. Hwy 287, Suites 601 & 603, Mansfield, TX 76063-7606 | 2016-04-08 |
| 1235531385 | Deo Bhati M.d. | Hospice Care, Community Based | 3 Pond View Ct, Mansfield, TX 76063-5471 | 2014-09-19 |
| 1669886040 | Ckd Hospice & Palliative Care Inc | Hospice Care, Community Based | 1015 E Dallas St Ste 2, Mansfield, TX 76063-2029 | 2014-06-13 |
| 1255521183 | Superior Hospice of Northwest Louisiana, LLC | Hospice Care, Community Based | 511 Jenkins St., Suite B, Mansfield, LA 71052 | 2007-07-26 |
| 1447792932 | Lone Star Visiting Caregivers LLC | Hospice Care, Community Based | 752 N Main St, Unit 1880, Mansfield, TX 76063-3229 | 2016-11-15 |
| 1295148559 | Greenleaf Hospice LLC | Hospice Care, Community Based | 1290 Highway 157 N, Mansfield, TX 76063-1538 | 2014-06-04 |
| 1033153119 | Medcentral Homecare and Hospice | Hospice Care, Community Based | 1020 Cricket Ln, Mansfield, OH 44906-4104 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121743 | Parrish Palliative and Hospice Care of Ohio, LLC | Hospice Care, Community Based | 2232 Centennial Rd, Sylvania Township, OH 43617-1870 | 2020-10-15 |
| 1629693742 | Kind Hearts Hospice LLC | Hospice Care, Community Based | 4303 Talmadge Rd Ste 202, Toledo, OH 43623-3519 | 2020-06-15 |
| 1528682150 | Homestead Hospice of Ohio, LLC | Hospice Care, Community Based | 577 Grant St Ste B, Akron, OH 44311-1535 | 2020-05-29 |
| 1356964282 | Pure Angels, LLC | Hospice Care, Community Based | 4770 Indianola Ave Ste 101b, Columbus, OH 43214-1876 | 2020-05-27 |
| 1841824430 | Interim Healthcare Hospice of Ohio, Inc. | Hospice Care, Community Based | 784 Morrison Rd Ste B, Gahanna, OH 43230-6642 | 2020-02-24 |
| 1740814334 | Interim Healthcare Hospice of Ohio, Inc. | Hospice Care, Community Based | 7009 Taylorsville Rd Ste C, Dayton, OH 45424-3176 | 2020-02-24 |
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1295399269 | Integrity Hospice and Health Inc | Hospice Care, Community Based | 3432 Pavilion Ln, Bellbrook, OH 45305-9779 | 2019-04-25 |
| 1346706082 | Interim Healthcare Hospice of Ohio Inc | Hospice Care, Community Based | 2682 N Columbus St Ste A, Lancaster, OH 43130-8274 | 2019-02-19 |
| 1467930958 | Interim Healthcare Hospice of Ohio Inc | Hospice Care, Community Based | 2129 Tiffin Ave Ste 3, Findlay, OH 45840-8517 | 2018-08-06 |
| 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.