SOUTHERNCARE INC NPI 1508804279

NPI Information

NPI: 1508804279
Provider Name: SOUTHERNCARE INC

Doing Business As: SOUTHERNCARE PETERSBURG

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3321 SOUTH CRATER ROAD
PETERSBURG, VA
ZIP 23805
Phone: (804) 732-5220
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SOUTHERNCARE INC is a hospice care community based in Petersburg, VA. SOUTHERNCARE INC NPI is 1508804279. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Petersburg.

The provider's business location address is:

3321 SOUTH CRATER ROAD
PETERSBURG, VA
ZIP 23805
Phone: (804) 732-5220
Fax: (804) 732-5227

The provider's authorized official is Michael J Parsons .
The authorized official title is CEO PRESIDENTPresident and has the following contact phone number (205) 868-4400.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 4/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010298954	MEDICAID	VIRGINIA
2	HSP-06127	OTHER	VIRGINIA	STATE LICENSE NUMBER
3	491583	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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