Southerncare Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTHERNCARE INC

Practice address

3321 South Crater Road
Petersburg, VA 23805

Phone

(804) 732-5220

Fax

(804) 732-5227

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Parsons

Title

Ceo President

Phone

(205) 868-4400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SouthernCare Petersburg Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Bala Cynwyd, PA
  • NPI 1801595327

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1508804279",
    "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": "3321 SOUTH CRATER ROAD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23805",
            "telephone_number": "804-732-5220",
            "fax_number": "804-732-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO  PRESIDENT",
        "authorized_official_telephone_number": "205-868-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010298954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "HSP-06127",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthernCare Petersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Kathleen Smotrys, PT, DPT
• Lauren Snead, CCC/SLP
• Soft Life Therapeutics LLC
• Crystal Sue Luckett Solomon, LPC
• South Leasing (VA) Co., LLC
• Southside Dental Associates PC
• Southside Dental Cares, PC
• Southside Family Practice P.C.
• Southside Kidney Specialists
• Southside Kidney Specialists

• Community Based Hospice Care Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community Based Hospice Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.