Southerncare Lafayette

LBN: Southerncare, Inc.
Southerncare Lafayette is an health care organization with primary practice located at 935 Mezzanine Dr , Lafayette IN 47905-8645. 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 (765) 448-4732, or through Kleberg, Jessica via phone (704) 664-2876.

Contact Information

Primary practice address
935 Mezzanine Dr Lafayette IN 47905-8645
Phone: (765) 448-4732
Fax: (765) 448-4741
Website:
Map and Directions
Authorized official contact:
Name: Kleberg, Jessica
Phone: (704) 664-2876

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 040039001 Indiana
Agencies / Hospice Care, Community Based 251G00000X 13-003900-2 Indiana

Profile Details

NPI number 1386682755
LBN Legal business name Southerncare, Inc.
DBA Doing business as Southerncare Lafayette
Authorized official Kleberg, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated May 16th, 2016 - about 9 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 1386682755 NPPES
Indiana MEDICAID 200469930A

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