NPIMap

Organization Active NPI

Southerncare , Inc.

Doing business as New Century Hospice

  • Community Based Hospice Care Agency
  • Suffolk, VA
National Provider Identifier
1104346923
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOUTHERNCARE , INC.
Doing business as
New Century Hospice
New Century Hospice - Suffolk
Practice address
1037 Champions Way Ste 600
Suffolk, VA 23435
Phone
(757) 366-0432
Fax
(844) 358-6586
NPI assigned
Jun 22, 2017
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Jessica Kleberg
Title
VP of Legal Affairs
Phone
(704) 662-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1037 Champions Way Ste 600
Suffolk, VA 23435

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876

Other practice location 1

1403 Greenbrier Pkwy Ste 230
Chesapeake, VA 23320-0690
Phone (757) 366-0432

Other names 2

  • New Century Hospice Doing business as
  • New Century Hospice - Suffolk Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southerncare Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

1403 Greenbrier Pkwy
Ste 230
Chesapeake, VA 23320
Phone (757) 366-0432

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1104346923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179601",
            "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": "1037 CHAMPIONS WAY STE 600",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23435",
            "telephone_number": "757-366-0432",
            "fax_number": "844-358-6586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Greenbrier Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233200690",
            "country_code": "US",
            "telephone_number": "757-366-0432",
            "fax_number": "757-366-0546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERNCARE , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "KLEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP OF LEGAL AFFAIRS",
        "authorized_official_telephone_number": "704-662-0414"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Century Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Century Hospice - Suffolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.