Southerncare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

015010 Issued in TX

Legal business name

SOUTHERNCARE, INC.

Doing business as

SouthernCare Denton

Practice address

5800 N I35
Ste 200 B
Denton, TX 76207-1438

Phone

(940) 243-0901

Fax

(940) 243-0904

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William R Priest

Title

Chief Compliance Officer

Phone

(469) 374-5914

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SouthernCare Denton Doing business as

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1316987829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 N STATE HIGHWAY 161",
            "address_2": "SUITE 115",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382269",
            "telephone_number": "469-374-5900",
            "fax_number": "469-374-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 N I35",
            "address_2": "STE 200 B",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-243-0901",
            "fax_number": "940-243-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "PRIEST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "469-374-5914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "015010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthernCare Denton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joana Sossaman, MA, NCC
• Elizabeth Soto, BCABA
• Ivette F Soto, DDS
• Rafeal Soto
• Linda Bussey Southard, LCDC
• Southridge Dental, LLC
• Span, Inc
• Span, Incorporated (Span Denton County)
• Specialeyes Optical, LLC
• Spectrum Vision, PLLC

• Community Based Hospice Care Agency in Denton, TX
• Providers in Denton, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.