Gentiva Ii

LBN: Southerncare, Inc.
Gentiva Ii is an health care organization with primary practice located at 1965 Boardman Rd Suite B, Jackson MI 49202-1979. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Southerncare, Inc. can be contacted via phone (517) 788-6838, or through Combs, Janet via phone (704) 662-1761.

Contact Information

Primary practice address
1965 Boardman Rd Suite B Jackson MI 49202-1979
Phone: (517) 788-6838
Fax: (517) 788-6839
Website:
Map and Directions
Authorized official contact:
Name: Combs, Janet
Phone: (704) 662-1761

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 383513 Michigan
Agencies / Hospice Care, Community Based 251G00000X 1041000079 Michigan

Profile Details

NPI number 1093753188
LBN Legal business name Southerncare, Inc.
DBA Doing business as Gentiva Ii
Authorized official Combs, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093753188 NPPES
Michigan MEDICAID 15/4610886
Michigan MEDICAID 4610886

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