NPIMap

Organization Active NPI

Southern Care Inc

Doing business as Southern Care Jasper

  • Hospice Registered Nurse
  • Jasper, AL
National Provider Identifier
1740228725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
11076 Issued in AL
Legal business name
SOUTHERN CARE INC
Doing business as
Southern Care Jasper
Practice address
4330 Hwy 78 East
Ste 210 & 211
Jasper, AL 35504
Phone
(205) 387-0249
Fax
(205) 387-0681
NPI assigned
Jun 3, 2006
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
Mr. Michael J Pardy
Title
Ceo President
Phone
(205) 655-4809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 11076 AL Primary

Addresses

Primary practice location

4330 Hwy 78 East
Ste 210 & 211
Jasper, AL 35504

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PIC1625EMedicaidAL

Other names 1

  • Southern Care Jasper 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

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740228725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "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": "4330 HWY 78 EAST",
            "address_2": "STE 210 & 211",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "35504",
            "telephone_number": "205-387-0249",
            "fax_number": "205-387-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "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": "CEO PRESIDENT",
        "authorized_official_telephone_number": "205-655-4809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "AL",
            "license": "11076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1625E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Care Jasper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

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.