Gentiva Ii

LBN: Southerncare, Inc.
Gentiva Ii is an health care organization with primary practice located at 1911 West Center Avenue Suite 1, Portage MI 49024-5367. 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 (269) 342-9308, or through Combs, Janet via phone (704) 662-1761.

Contact Information

Primary practice address
1911 West Center Avenue Suite 1 Portage MI 49024-5367
Phone: (269) 342-9308
Fax: (269) 342-9462
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 393525 Michigan
Agencies / Hospice Care, Community Based 251G00000X 1041000077 Michigan

Profile Details

NPI number 1114965688
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 4th, 2006
Last updated Jan 11th, 2023 - about 3 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 1114965688 NPPES
Michigan MEDICAID 4610877
Michigan MEDICAID 15/4610877

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