Active NPI
Southern Care Inc
Doing business as Southern Care Beaumont
- Community Based Hospice Care Agency
- Beaumont, TX
National Provider Identifier
1023058526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 008458
- Legal business name
- SOUTHERN CARE INC
- Doing business as
- Southern Care Beaumont
- Practice address
- 3965 Phelan Blvd
Ste 108
Beaumont, TX 77707-2253 - Phone
- (409) 833-8001
- Fax
- (409) 833-8012
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 008458 | TX | Primary |
Addresses
Primary practice location
3965 Phelan Blvd
Ste 108
Beaumont, TX 77707-2253
Mailing address
2204 Lakeshore Dr
Suite 475
Birmingham, AL 35209-6705
Phone (205) 868-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012349 | Medicaid | TX |
Other names 1
- Southern Care Beaumont
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1023058526",
"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": "3965 PHELAN BLVD",
"address_2": "STE 108",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072253",
"telephone_number": "409-833-8001",
"fax_number": "409-833-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2009-05-11",
"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": "TX",
"license": "008458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012349",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Care Beaumont",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
- Southeast Texas Psychological Services, PLLC
- Southeast Texas Pulmonary Associates LLP
- Southeast Texas Self-Management of Diabetes
- Southeast Texas Urology Associates, LLP
- Southern Anesthetics, PLLC
- Southern Oaks Dental Clinic (Southern Oaks Dental Care)
- Southern Star EMS Inc
- Katelynn Sparkman
- Kelly Sparkman, PMHNP
- Specialized Pharmacy Services, Inc. (Specialty Shoes & Diabetic Supplies)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.