NPIMap

Organization Active NPI

Southerncare, Inc.

Doing business as Gentiva II

  • Community Based Hospice Care Agency
  • Jackson, MI
National Provider Identifier
1093753188
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1041000079 Issued in MI
Legal business name
SOUTHERNCARE, INC.
Doing business as
Gentiva II
Practice address
1965 Boardman Rd
Suite B
Jackson, MI 49202-1979
Phone
(517) 788-6838
Fax
(517) 788-6839
NPI assigned
Jun 2, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 383513 MI
Community Based Hospice Care Agency 251G00000X 1041000079 MI Primary

Addresses

Primary practice location

1965 Boardman Rd
Suite B
Jackson, MI 49202-1979

Mailing address

655 Brawley School Rd
Suite 200
Mooresville, NC 28117-9125
Phone (704) 664-2876

Other identifiers 2

IdentifierTypeStateIssuer
4610886MedicaidMI
15/4610886MedicaidMI

Other names 1

  • Gentiva II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000864 MI Part A Provider - Hospice 8527977735 Practice locations: Jackson, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093753188. Details of each certification follow.

Hospice certification: CCN 231592

Legal name
SOUTHERNCARE, INC.
Doing business as
GENTIVA II
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 11, 2004
Last certification
Dec 1, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
1965 Boardman Rd
Unit B
Jackson, MI 49202-1979

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentiva IICCN 231592 · All quality measures
Ownership
For-Profit
Certified
Mar 11, 2004
Medicare certification status
ActiveFrom the Provider of Services file

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerEvp and General Counsel Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
David Robinson Arnold Individual Corporate OfficerVP and Treasurer Dec 31, 2021
Other Dec 31, 2021
Curo Hospice SC LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Eric T Trimas Individual Contracted Managing EmployeeMD; Mar 1, 2023
Ksoc Holdings, Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 1, 2011 100%
Southerncare Holdings, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 20, 2002 100%
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Louisville, KY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer Apr 27, 2021
Corporate DirectorBoard Member Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Operational/Managerial Control Jun 6, 2014 100%
Janet L Combs Individual Corporate OfficerVP Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Erin White Individual W-2 Managing EmployeeAd; Feb 2, 2026
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%

Owners & managing parties with NPI records 19

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

  • Eric T Trimas, DO
    • Family Medicine Physician
    • Jackson, MI
    • NPI 1669430179

    Contracted Managing Employee

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Des Moines)

    • Community Based Hospice Care Agency
    • Ames, IA
    • NPI 1043911753

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Myrtle Beach)

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (St. Louis)

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

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

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 19

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gentiva IICincinnati, OH, CCN 361704 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1093753188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179125",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 BOARDMAN RD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021979",
            "telephone_number": "517-788-6838",
            "fax_number": "517-788-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-04-07",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "383513",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "1041000079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4610886",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15/4610886",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.