Southerncare Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTHERNCARE INC

Practice address

110 N Jerry Clower Blvd
Ste B
Yazoo City, MS 39194-8669

Phone

(662) 746-1803

Fax

(662) 746-7937

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael J Parsons

Title

Ceo President

Phone

(205) 868-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SouthernCare Yazoo City Satellite Office of SouthernCare Jackson Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Hospice certification: CCN 251559

Legal name

SOUTHERNCARE, INC.

Doing business as

GENTIVA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 14, 2000

Last certification

Mar 30, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 30, 2002 in DE

Enrollment address

1990 S Frontage Rd
Ste 1
Vicksburg, MS 39180-5232

Locations

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1013616515

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1013618180

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • West Des Moines, IA
  • NPI 1043911753

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Virginia Beach, VA
  • NPI 1164121489

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Davenport, IA
  • NPI 1164123873

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Beltsville, MD
  • NPI 1184323693

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Lincoln, NE
  • NPI 1255030763

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Myrtle Beach, SC
  • NPI 1306545629

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1437858941

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Fairfax, VA
  • NPI 1447959762

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Newport News, VA
  • NPI 1528767845

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Windsor Mill, MD
  • NPI 1558060061

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southerncare, Inc

  • Community Based Hospice Care Agency
  • Vicksburg, MS
  • NPI 1952581803

  O20060807000111

  Same enrollment
• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Vicksburg, MS
  • NPI 1861430837

  O20060807000111

  Same enrollment

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Joseph W Blackston, MD

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1194834747

  Hospice

  Care Compare affiliation
• Robert L Giffin, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1376584052

  Hospice

  Care Compare affiliation

Listed as

GentivaCCN 251559

Ownership

For-Profit

Certified

Mar 14, 2000

Medicare certification status

ActiveFrom the Provider of Services file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1003854522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR",
            "address_2": "SUITE 475",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096705",
            "telephone_number": "205-868-4400",
            "fax_number": "205-868-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N JERRY CLOWER BLVD",
            "address_2": "STE B",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391948669",
            "telephone_number": "662-746-1803",
            "fax_number": "662-746-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "205-868-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770385",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthernCare Yazoo City Satellite Office of SouthernCare Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Sellers
• Brittney M. Shelby
• Jasmine Simmons
• Keith Warren Simpson, DMD
• Marguerite Sims
• Stacy Transit Service
• Sharon Stanley Oliphant
• Veronica R. Starling, RN
• Stasia D. Winford, DMD, P.a.
• Angela Allen Street, M.S.W.;L.C.S.W.

• All providers in Yazoo City, MS
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.