SOUTHERNCARE, INC. (NPI# 1710927298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710927298 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERN CARE BLOOMINGTON |
| Practice Address |
1923 S Liberty Dr Bloomington IN 47403-5146 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 8123348343 |
| Practice Fax Number | 8123348949 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046621306 |
| Enumeration Date | 2006-06-07 |
| 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 | SATELLITE OFFICE | IN | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 14-002998-1 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200424080B | 05 |
| Other Name | Type Code |
|---|---|
| Southern Care Bloomington | 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 |
1923 S LIBERTY DR |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790204907 | New Beacon Hospice Indiana, LLC | Hospice Care, Community Based | 100 N Curry Pike Ste 2, Bloomington, IN 47404-2593 | 2017-09-19 |
| 1134153224 | Indiana University Health Bloomington Inc | Hospice Care, Community Based | 619 W 1st St, Bloomington, IN 47403-2307 | 2006-07-11 |
| 1871534628 | Group Health Plan Inc | Hospice Care, Community Based | 8101 33rd Avenue, Mailstop 26002a, Bloomington, MN 55425 | 2006-06-10 |
| 1073057691 | Advocate At Home | Hospice Care, Community Based | 303 N Hershey Rd, Bloomington, IL 61704-3576 | 2016-12-16 |
| 1689905879 | Meridian Hospice, Inc | Hospice Care, Community Based | 303 N Hershey Rd, Suite C, Bloomington, IL 61704-3576 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180168 | Adaptive Hospice, Inc. | Hospice Care, Community Based | 777 Beachway Dr Ste 302, Indianapolis, IN 46224-7876 | 2020-10-08 |
| 1457969081 | Intrepid of The Crescent Valley, Inc. | Hospice Care, Community Based | 4600 Vogel Rd Ste 1318, Evansville, IN 47715-2226 | 2020-07-20 |
| 1275150062 | Heartland Hospice Services LLC | Hospice Care, Community Based | 5265 Commerce Blvd Ste A, Crown Point, IN 46307-5327 | 2020-06-29 |
| 1790306710 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 9515 Indianapolis Blvd Ste 4, Highland, IN 46322-2644 | 2020-04-30 |
| 1841821741 | Heart To Heart Hospice of Eastern Indiana, LLC | Hospice Care, Community Based | 1 Cass City Ctr Ste 214-217, Logansport, IN 46947-3172 | 2020-01-29 |
| 1376183673 | Preferred Hospice Care, LLC | Hospice Care, Community Based | 224 S Mill St, Fairmount, IN 46928-1940 | 2020-01-14 |
| 1336782119 | Guardian Angels Hospice and Palliative Care of Fort Wayne | Hospice Care, Community Based | 11621 Stellhorn Rd, New Haven, IN 46774-9775 | 2019-10-23 |
| 1205479383 | Eleos,llc | Hospice Care, Community Based | 4601 Maplecrest Rd, Fort Wayne, IN 46835-3980 | 2019-10-22 |
| 1023667755 | Heart To Heart Hospice of Northwest Indiana LLC | Hospice Care, Community Based | 402 Wall St Ste 51, Valparaiso, IN 46383-2567 | 2019-09-05 |
| 1881243509 | Heart To Heart Hospice of Northeast Indiana, LLC | Hospice Care, Community Based | 7223 Engle Rd Ste 210, Fort Wayne, IN 46804-2239 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.