Southerncare Indianapolis

LBN: Southerncare, Inc.
Southerncare Indianapolis is an health care organization with primary practice located at 1923 S Liberty Dr , Bloomington IN 47403-5146. 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 (812) 334-8343, or through Combs, Janet via phone (913) 814-2013.

Contact Information

Primary practice address
1923 S Liberty Dr Bloomington IN 47403-5146
Phone: (812) 334-8343
Fax: (812) 334-8949
Website:
Map and Directions
Authorized official contact:
Name: Combs, Janet
Phone: (913) 814-2013

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 050029981 Indiana
Agencies / Hospice Care, Community Based 251G00000X 14-002998-1 Indiana

Profile Details

NPI number 1750329132
LBN Legal business name Southerncare, Inc.
DBA Doing business as Southerncare Indianapolis
Authorized official Combs, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 13th, 2022 - 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 1750329132 NPPES
Indiana MEDICAID 200424080B
Indiana MEDICAID 200424080A

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