Southern Care Providers LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SOUTHERN CARE PROVIDERS LLC

Practice address

1050 Glenbrook Way # 480413
Hendersonville, TN 37075-1241

Phone

(615) 886-8616

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Yasanta Wells

Title

Owner

Phone

(615) 886-8616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1295326510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GLENBROOK WAY # 480413",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751241",
            "telephone_number": "615-886-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GLENBROOK WAY # 480413",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751241",
            "telephone_number": "615-886-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "YASANTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-886-8616"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.