NPIMap

Organization Active NPI

Southerncare, Inc.

Doing business as Gentiva II

  • Community Based Hospice Care Agency
  • Roanoke, VA
National Provider Identifier
1902848443
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP14130 Issued in VA
Legal business name
SOUTHERNCARE, INC.
Doing business as
Gentiva II
Practice address
5221 Valleypark Dr Ste 1B
Roanoke, VA 24019-3009
Phone
(540) 366-0927
Fax
(540) 366-0989
NPI assigned
Jun 11, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Janet Combs
Title
VP of Licensure
Phone
(704) 662-1761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HSP 130 VA
Community Based Hospice Care Agency 251G00000X HSP14130 VA Primary

Addresses

Primary practice location

5221 Valleypark Dr Ste 1B
Roanoke, VA 24019-3009

Mailing address

PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

7061 W Lee Hwy Ste B
Rural Retreat, VA 24368-2933
Phone (276) 223-0571

Other identifiers 2

IdentifierTypeStateIssuer
010299098MedicaidVA
1427400183MedicaidVA

Other names 1

  • Gentiva II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000781 VA Part A Provider - Hospice 8527977735 Practice locations: Roanoke, VA; Wytheville, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902848443. Details of each certification follow.

Hospice certification: CCN 491582

Legal name
SOUTHERNCARE, INC.
Doing business as
GENTIVA II
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 7, 2006
Last certification
Apr 8, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 30, 2002 in DE
Enrollment address
5330 Peters Creek Rd
Ste D1
Roanoke, VA 24019-3853

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentiva IICCN 491582 · All quality measures
Ownership
For-Profit
Certified
Apr 7, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2053371Southerncare, Inc Dba Gentiva II5330 Peters Creek Rd NW, Suite D1, Roanoke, VA 24019Certificate of waiverJan 29, 2027

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
CH Services Midco Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerExecutive VP & General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 17, 2021 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
Operational/Managerial ControlHome Office Administrator Dec 31, 2021
Curo Hospice SC LLC Organization, Mooresville, NC Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Ksoc Holdings, Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Southerncare Holdings, Inc. Organization, Mooresville, NC For-profit 5% Or Greater Direct Ownership Interest Jun 6, 2014 100%
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Mazen I Madhoun Individual Contracted Managing EmployeeMD; Oct 1, 2020
Falcon Hospice, LP Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer & President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Fort Worth, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Janet L Combs Individual Corporate OfficerVP Licensure, Authorized Official Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Tanya Renee Martin Individual W-2 Managing EmployeeAd; May 28, 2024
CH Services Group Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
CH Services Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%

Owners & managing parties with NPI records 19

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 19

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gentiva IICincinnati, OH, CCN 361704 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1902848443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 VALLEYPARK DR STE 1B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240193009",
            "telephone_number": "540-366-0927",
            "fax_number": "540-366-0989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7061 W Lee Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Rural Retreat",
            "state": "VA",
            "postal_code": "243682933",
            "country_code": "US",
            "telephone_number": "276-223-0571",
            "fax_number": "276-889-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERNCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-04-07",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-662-1761"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP 130",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "VA",
            "license": "HSP14130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010299098",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427400183",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.