SOUTHERNCARE INC (NPI# 1578500823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578500823 |
Entity Type | Organization |
Organization Name | SOUTHERNCARE INC |
Other Organization Name | SOUTHERNCARE SPRINGFIELD |
Practice Address |
777 E Battlefield St Ste 104a Springfield MO 65807-4807 |
Mailing Address |
2204 Lakeshore Dr Suite 475 Birmingham AL 35209-6705 |
Practice Telephone | 4178866995 |
Practice Fax Number | 4178867129 |
Mailing Telephone | 2058684400 |
Mailing Fax Number | 2058684401 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2009-04-22 |
Authorized Official Name | MR. MICHAEL J PARSONS (CEO PRESIDENT) |
Authorized Official Telephone | 2058684400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 1202HO | MO | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 825857709 | 05 |
Other Name | Type Code |
---|---|
SouthernCare Springfield | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134150931 | Southerncare Inc | Hospice Care, Community Based | 68853550 Hulen Street, Ste B, Fort Worth, TX 76107-6885 | 2006-07-06 |
1366483091 | Southerncare Inc | Hospice Care, Community Based | 2360 Pepperell Pkwy, Opelika, AL 36801-6240 | 2006-06-10 |
1699715474 | Southerncare Inc | Hospice Care, Community Based | 220 N Plaza Blvd, Chillicothe, OH 45601-1787 | 2006-06-08 |
1134169642 | Southerncare Inc | Hospice Care, Community Based | 4781 South Main Street, Stafford, TX 77477-4723 | 2006-06-07 |
1801835608 | Southerncare Inc | Hospice Care, Community Based | 27 Maple Ridge Dr, Ste A, Cartersville, GA 30121-2293 | 2006-06-06 |
1487693354 | Southerncare Inc | Hospice Care, Community Based | 8560 Holcomb Bridge Rd, Ste 110, Alpharetta, GA 30022-5988 | 2006-06-06 |
1194763573 | Southerncare Inc | Hospice Care, Community Based | 2780 Commerce Dr, Suite 100, Middletown, PA 17057-3245 | 2006-06-04 |
1558309930 | Southerncare Inc | Hospice Care, Community Based | 3100 Cottage Hill Rd, Ste 112 & 117, Mobile, AL 36606-2913 | 2006-06-04 |
1003854522 | Southerncare Inc | Hospice Care, Community Based | 110 N Jerry Clower Blvd, Ste B, Yazoo City, MS 39194-8669 | 2006-06-04 |
1508804279 | Southerncare Inc | Hospice Care, Community Based | 3321 South Crater Road, Petersburg, VA 23805 | 2006-06-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | SouthernCare Inc. | 655 Brawley School Road, Ste 200, Mooresville, North Carolina 28117 |
North Carolina Corporations | Southerncare Inc. | 2 South Salisbury Street, Raleigh, NC 27601 |
Street Address |
777 E BATTLEFIELD ST STE 104A |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-4807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033532452 | Ashley D Wallace | Counselor | 777 E Battlefield St, Springfield, MO 65807-4807 | 2014-01-22 |
1952731283 | Thomas Lewis II | Counselor | 777 E Battlefield St, Suite 102 B, Springfield, MO 65807-4807 | 2013-11-22 |
1134558422 | Kathryn Lynn Vanhooser | Counselor | 777 E Battlefield St, Suite 102b, Springfield, MO 65807-4807 | 2013-11-06 |
1811266505 | David Wayne Costello | Social Worker | 777 E Battlefield St, Suite 102b, Springfield, MO 65807-4807 | 2011-12-25 |
1710261862 | Dale S Nimmo | Mechanotherapist | 777 E Battlefield St, Suite 103-f, Springfield, MO 65807-4807 | 2011-10-07 |
1194042002 | Compass Counseling Services, LLC | Counselor | 777 E Battlefield St, Suite 102b, Springfield, MO 65807-4807 | 2010-05-02 |
1295977452 | Debra Jo Harlan | Social Worker | 777 E Battlefield St, Suite 102, B, Springfield, MO 65807-4807 | 2009-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
1215391065 | Great Lakes Caring Hospice C Il, LLC | Hospice Care, Community Based | 3085 Stevenson Dr Ste 200a, Springfield, IL 62703-4440 | 2016-04-07 |
1811393564 | Loving Peace Hospice, Inc. | Hospice Care, Community Based | 2815 Old Jacksonville Rd Ste 202, Springfield, IL 62704-6419 | 2014-11-07 |
1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
1508012204 | Beacon Hospice, LLC | Hospice Care, Community Based | 815 Worcester St, Springfield, MA 01151-1001 | 2008-08-13 |
1720255284 | Good Shepherd Hospice of Springfield, LLC | Hospice Care, Community Based | 3250 S National Ave, Springfield, MO 65807-7303 | 2008-05-14 |
1710159355 | Omega Health Care of Southwest Missouri Inc | Hospice Care, Community Based | 2041 S Stewart Ave, Springfield, MO 65804-2522 | 2008-03-24 |
1083787840 | Southeast Colorado Hospital District | Hospice Care, Community Based | 200 E 10th Ave, Springfield, CO 81073-1621 | 2006-11-17 |
1699850180 | Northcrest Medical Center | Hospice Care, Community Based | 101e Mooreland Drive, Springfield, TN 37172-3974 | 2006-10-25 |
1366450504 | Hospice & Palliative Care Of | Hospice Care, Community Based | 2432 East Madrid Ave, Springfield, MO 65804 | 2006-08-04 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
Please comment or provide details below to improve the information on SOUTHERNCARE INC.
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.