Gentiva

LBN: Southerncare, Inc.
Gentiva is an health care organization with primary practice located at 1990 S Frontage Rd Ste I , Vicksburg MS 39180-5232. 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 (601) 924-8285, or through Combs, Janet via phone (704) 664-2876.

Contact Information

Primary practice address
1990 S Frontage Rd Ste I Vicksburg MS 39180-5232
Phone: (601) 924-8285
Fax: (601) 924-8788
Website:
Map and Directions
Authorized official contact:
Name: Combs, Janet
Phone: (704) 664-2876

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 061 Mississippi

Profile Details

NPI number 1861430837
LBN Legal business name Southerncare, Inc.
DBA Doing business as Gentiva
Authorized official Combs, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Jan 17th, 2023 - about last year

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 1861430837 NPPES
Mississippi MEDICAID 00770385

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