Southerncare Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0141HSP Issued in OH

Legal business name

SOUTHERNCARE INC

Doing business as

SouthernCare Dayton

Practice address

3077 Kettering Blvd
Ste 100
Moraine, OH 45439-1949

Phone

(937) 293-3603

Fax

(937) 293-3646

NPI assigned

Jun 6, 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 1

Other names 1

• SouthernCare Dayton Doing business as

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1720027519",
    "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": "3077 KETTERING BLVD",
            "address_2": "STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391949",
            "telephone_number": "937-293-3603",
            "fax_number": "937-293-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-05-27",
        "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": "OH",
            "license": "0141HSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthernCare Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Community Inc
• South Community Inc
• South Community Inc.
• South Community Inc.
• South Community Primary Care Inc
• Christopher Michael Sove, CDCA
• Cara Emily Spagnola, MSW, LSW
• Victoria Spencer
• Jason Douglas Spiers, LPN
• Michael John Spirk

• Community Based Hospice Care Agency in Moraine, OH
• Providers in Moraine, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.