Active NPI
Southerncare, Inc.
Doing business as Gentiva II
- Community Based Hospice Care Agency
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 1041000077
- Legal business name
- SOUTHERNCARE, INC.
- Doing business as
- Gentiva II
- Practice address
- 1911 West Center Avenue
Suite 1
Portage, MI 49024-5367 - Phone
- (269) 342-9308
- Fax
- (269) 342-9462
- NPI assigned
- Jun 4, 2006
- Last updated
- Apr 7, 2026
- 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
- Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 662-1761
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 393525 | MI | |
| Community Based Hospice Care Agency | 251G00000X | 1041000077 | MI | Primary |
Addresses
Primary practice location
1911 West Center Avenue
Suite 1
Portage, MI 49024-5367
Mailing address
655 Brawley School Rd
Suite 200
Mooresville, NC 28117-9125
Phone (704) 664-2876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4610877 | Medicaid | MI | |
| 15/4610877 | Medicaid | MI |
Other names 1
- Gentiva II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030812000068 | MI | Part A Provider - Hospice | 8527977735 | Practice locations: Portage, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114965688. Details of each certification follow.
Hospice certification: CCN 231591
- Legal name
- SOUTHERNCARE, INC.
- Doing business as
- GENTIVA II
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 12, 2004
- Last certification
- Jun 10, 2017
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 30, 2002 in DE
- Enrollment address
- 1911 W Centre Ave
Ste 1
Portage, MI 49024-5367
Care Compare: Hospice
Medicare Care Compare- Listed as
- Gentiva II
- Ownership
- For-Profit
- Certified
- Mar 12, 2004
- Medicare certification status
- Active
Ownership & related parties
All disclosed owners & managing parties 25
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc | 5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| Kentucky Homecare Parent Inc. | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas | Corporate Officer | Apr 27, 2021 | |
| Corporate Director | Apr 27, 2021 | ||
| Curo Health Services Holdings, Inc | 5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| David Robinson Arnold | Corporate Officer | Dec 31, 2021 | |
| Other | Dec 31, 2021 | ||
| Curo Hospice SC LLC | 5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| Thomas Joseph Dolan | Corporate Officer | Nov 30, 2021 | |
| Ksoc Holdings, Inc | 5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| Southerncare Holdings, Inc. | 5% Or Greater Direct Ownership Interest | Jun 6, 2014 | 100% |
| Ramon Urrea | Contracted Managing Employee | May 6, 2023 | |
| Charlotte Midco, LLC | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Humana Inc | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby | Corporate Officer | Apr 27, 2021 | |
| Corporate Director | Apr 27, 2021 | ||
| Charlotte Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Curo Health Services LLC | 5% Or Greater Indirect Ownership Interest | Jun 6, 2014 | 100% |
| Operational/Managerial Control | Jun 6, 2014 | 100% | |
| Janet L Combs | Corporate Officer | Nov 1, 2021 | |
| CD&R Falcon Holdings, LP | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc | 5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Kah Hospice Company, Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Morgan Stanley Dean Witter Capital | 5% Or Greater Direct Ownership Interest | Feb 21, 2003 | |
| CH Services Group Holdings Inc | 5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| CH Services Holdings Inc | 5% Or Greater Indirect Ownership Interest | Feb 5, 2015 | 100% |
| Adam Ruckert | W-2 Managing Employee | May 6, 2023 |
Owners & managing parties with NPI records 19
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- South Haven, MI
- NPI 1952331613
Contracted Managing Employee
-
dba Heartland
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1013616515
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Wichita, KS
- NPI 1013618180
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland Hospice (Des Moines)
- Community Based Hospice Care Agency
- Ames, IA
- NPI 1043911753
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Virginia Beach, VA
- NPI 1164121489
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Davenport, IA
- NPI 1164123873
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Beltsville, MD
- NPI 1184323693
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Lincoln, NE
- NPI 1255030763
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland Hospice (Myrtle Beach)
- Community Based Hospice Care Agency
- Myrtle Beach, SC
- NPI 1306545629
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland Hospice (St. Louis)
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1437858941
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Fairfax, VA
- NPI 1447959762
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
dba Heartland
- Community Based Hospice Care Agency
- Newport News, VA
- NPI 1528767845
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gentiva II | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
Facilities with the same owner 216
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Heartland
- Home Health Agency
- West Branch, MI
- NPI 1073214177
Curo Health Services LLC
-
dba Heartland Home Health
- Home Health Agency
- Midland, MI
- NPI 1093400319
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- Mason, MI
- NPI 1013617794
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1114627890
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- Ann Arbor, MI
- NPI 1174224612
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- Midland, MI
- NPI 1306546080
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- West Branch, MI
- NPI 1467152140
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- Monroe, MI
- NPI 1811697584
Curo Health Services LLC
-
dba Heartland
- Community Based Hospice Care Agency
- Flint, MI
- NPI 1932809613
Curo Health Services LLC
-
dba Gentiva
- Community Based Hospice Care Agency
- Flint, MI
- NPI 1346247244
Curo Health Services LLC
-
dba Gentiva I
- Community Based Hospice Care Agency
- Southfield, MI
- NPI 1164423703
Curo Health Services LLC
-
dba Gentiva I
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1528347572
Curo Health Services LLC
Practitioners & affiliated clinicians
Affiliated clinicians 17
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": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1114965688",
"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": "1911 WEST CENTER AVENUE",
"address_2": "SUITE 1",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490245367",
"telephone_number": "269-342-9308",
"fax_number": "269-342-9462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERNCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"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": "393525",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MI",
"license": "1041000077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4610877",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15/4610877",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva II",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portage, MI
- Traci Ann Soule, CTRS
- South Michigan Psychiatric Services LLC (Kalamazoo TMS & Behavioral Health)
- South Michigan Psychiatric Services LLC (South Michigan Psychiatric Services)
- Lindsay Page South, MA
- Southern Michigan Pain Consultants PC (Axia Spine and Pain)
- Southwest Footcare Specialists, P.C.
- Southwest Michigan Behavioral Health
- Southwest Michigan Behavioral Health
- Southwest Michigan Plastic and Hand Surgery, PC
- Southwest Transportation Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.