NPIMap

Organization Active NPI

Southerncare, Inc

Doing business as SouthernCare Counsil Bluffs

  • Community Based Hospice Care Agency
  • Council Bluffs, IA
National Provider Identifier
1881874733
Registry record updated Nov 8, 2007
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 Counsil Bluffs
Practice address
20 Arena Way
Suite 107
Council Bluffs, IA 51501-7064
Phone
(205) 655-4809
Fax
(205) 655-0587
NPI assigned
Nov 8, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

20 Arena Way
Suite 107
Council Bluffs, IA 51501-7064

Mailing address

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

Other names 1

  • SouthernCare Counsil Bluffs 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

20 Arena Way
Ste 107
Council Bluffs, IA 51501
Phone (205) 655-4809

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1881874733",
    "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": "20 ARENA WAY",
            "address_2": "SUITE 107",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017064",
            "telephone_number": "205-655-4809",
            "fax_number": "205-655-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "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 Counsil Bluffs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.