Active NPI
Southerncare, Inc.
Doing business as SouthernCare Des Moines
- Community Based Hospice Care Agency
- Urbandale, IA
National Provider Identifier
1255467676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SOUTHERNCARE, INC.
- Doing business as
- SouthernCare Des Moines
- Practice address
- 2900 100TH St
Suite 103
Urbandale, IA 50322-3857 - Phone
- (515) 727-8011
- Fax
- (515) 727-0584
- NPI assigned
- Feb 27, 2007
- Last updated
- May 28, 2010
- 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
- President
- Phone
- (205) 868-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | IA | Primary |
Addresses
Primary practice location
2900 100TH St
Suite 103
Urbandale, IA 50322-3857
Mailing address
2204 Lakeshore Dr
Suite 475
Birmingham, AL 35209-6705
Phone (205) 868-4400
Other names 1
- SouthernCare Des Moines
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Gentiva
- Community Based Hospice Care Agency
- Prairieville, LA
- NPI 1235179060
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1255467676",
"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": "2900 100TH ST",
"address_2": "SUITE 103",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223857",
"telephone_number": "515-727-8011",
"fax_number": "515-727-0584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERNCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "PARSONS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-868-4400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SouthernCare Des Moines",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.