NPIMap

Organization Active NPI

Southerncare, Inc

Doing business as SouthernCare Cedar Rapids

  • Community Based Hospice Care Agency
  • Cedar Rapids, IA
National Provider Identifier
1689890642
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SOUTHERNCARE, INC
Doing business as
SouthernCare Cedar Rapids
Practice address
5005 Bowling St SW
Ste 3
Cedar Rapids, IA 52404-5070
Phone
(319) 364-2204
Fax
(319) 364-4933
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J. Pardy
Title
President
Phone
(205) 655-4809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IA Primary

Addresses

Primary practice location

5005 Bowling St SW
Ste 3
Cedar Rapids, IA 52404-5070

Mailing address

3536 Vann Rd
Birmingham, AL 35235-3221
Phone (205) 655-4809

Other names 1

  • SouthernCare Cedar Rapids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southerncare Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

5005 Bowling St SW
Ste 3
Cedar Rapids, IA 52404
Phone (319) 364-2204

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689890642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353221",
            "telephone_number": "205-655-4809",
            "fax_number": "205-655-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW",
            "address_2": "STE 3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-364-2204",
            "fax_number": "319-364-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-655-4809"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthernCare Cedar Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.