SOUTHERNCARE, INC. (NPI# 1750329132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750329132 |
| Entity Type | Organization |
| Organization Name | SOUTHERNCARE, INC. |
| Other Organization Name | SOUTHERNCARE INDIANAPOLIS |
| Practice Address |
6620 Parkdale Pl Suite N Indianapolis IN 46254-4697 |
| Mailing Address |
655 Brawley School Rd Suite 200 Mooresville NC 28117-9125 |
| Practice Telephone | 3172447160 |
| Practice Fax Number | 3172447166 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046621306 |
| Enumeration Date | 2006-06-04 |
| 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 | 050029981 | IN | Agencies |
| Y | 251G00000X | Hospice Care, Community Based | 14-002998-1 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200424080A | 05 |
| Other Name | Type Code |
|---|---|
| SouthernCare Indianapolis | 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 |
6620 PARKDALE PL SUITE N |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-4697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720061732 | Daniel Myron Overcash | Internal Medicine | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2005-11-23 |
| 1801347000 | Lori Endicott-cook | Nurse Practitioner | 6620 Parkdale Pl, Suite D, Indianapolis, IN 46254-5620 | 2016-10-23 |
| 1558717561 | Sacred Roots Midwifery Birth Center, Inc | Clinic/Center | 6620 Parkdale Pl, Suite K, Indianapolis, IN 46254-5620 | 2016-05-09 |
| 1215390778 | Sacred Roots Midwifery, LLC | Advanced Practice Midwife | 6620 Parkdale Pl, Suite K, Indianapolis, IN 46254-5620 | 2016-04-01 |
| 1447457346 | Meenu Goel | Obstetrics & Gynecology | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2007-07-02 |
| 1619059276 | Tronya N Hawkins | Obstetrics & Gynecology | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2006-10-20 |
| 1558443127 | Tameka S O'neal | Obstetrics & Gynecology | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2006-10-20 |
| 1346257789 | Angela Johnson | Internal Medicine | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2006-08-01 |
| 1396781357 | Brian W Haag | Surgery | 6620 Parkdale Pl, Suite N, Indianapolis, IN 46254-5620 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| 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 |
| 1699235887 | Brighton Hospice Indiana LLC | Hospice Care, Community Based | 280 E 96th St Ste 250, Indianapolis, IN 46240-3853 | 2019-03-22 |
| 1629504303 | Life's Journey of Avon,llc | Hospice Care, Community Based | 10241 E. Co Rd 100 N., Indianapolis, IN 46234 | 2017-05-02 |
| 1770968570 | Health Works | Hospice Care, Community Based | 7460 E 30th St, Indianapolis, IN 46219-1111 | 2015-07-22 |
| 1538540638 | Anew Hospice LLC | Hospice Care, Community Based | 3830 E Southport Rd Ste 300, Indianapolis, IN 46237-3261 | 2015-06-15 |
| 1578950895 | Great Lakes Caring Hospice C In, LLC | Hospice Care, Community Based | 5420 W Southern Ave Ste 302a, Indianapolis, IN 46241-5568 | 2015-04-24 |
| 1093102105 | Brookdale Hospice, LLC | Hospice Care, Community Based | 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 | 2015-04-16 |
| 1427395946 | Freedom Hospice, LLC | Hospice Care, Community Based | 7215 E 21st St Ste A, Indianapolis, IN 46219-1777 | 2013-01-04 |
| 1912264946 | Intrepid of Northern Indiana, Inc. | Hospice Care, Community Based | 6002 W 62nd St Ste B, Indianapolis, IN 46278-2909 | 2012-04-16 |
| 1679746267 | Seasons Hospice & Palliative Care of Indiana LLC | Hospice Care, Community Based | 2629 Waterfront Parkway East Dr, Ste 375, Indianapolis, IN 46214-2076 | 2008-04-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
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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.