Active NPI
Southerncare Inc
- Community Based Hospice Care Agency
- Russellville, AL
National Provider Identifier
1598703704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SOUTHERNCARE INC
- Doing business as
- SouthernCare Russellville
- Practice address
- 12220 Highway 43
Russellville, AL 35653-4737 - Phone
- (256) 331-1525
- Fax
- (256) 331-2330
- NPI assigned
- Jun 2, 2006
- 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
- Ceo President
- Phone
- (205) 868-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | AL | Primary |
Addresses
Primary practice location
12220 Highway 43
Russellville, AL 35653-4737
Mailing address
2204 Lakeshore Dr
Suite 475
Birmingham, AL 35209-6705
Phone (205) 868-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIC1647E | Medicaid | AL |
Other names 1
- SouthernCare Russellville
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240358400000",
"number": "1598703704",
"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": "12220 HIGHWAY 43",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356534737",
"telephone_number": "256-331-1525",
"fax_number": "256-331-2330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERNCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"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": "AL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PIC1647E",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SouthernCare Russellville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Russellville, AL
Sources for this page
- 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.