Southerncare Kokomo
LBN: Southerncare, Inc.
Southerncare Kokomo is an health care organization with primary practice located at 2985 S Webster St , Kokomo IN 46902-3456. 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) 453-3140, or through Kleberg, Jessica via phone (704) 664-2876.
Contact Information
Primary practice address
2985 S Webster St
Kokomo IN 46902-3456
Phone: (765) 453-3140
Fax: (765) 453-3910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Hospice Care, Community Based | 251G00000X | 120039131 | Indiana |
Agencies / Hospice Care, Community Based | 251G00000X | 13-003913-1 | Indiana |
Profile Details
NPI number | 1972541597 |
---|---|
LBN Legal business name | Southerncare, Inc. |
DBA Doing business as | Southerncare Kokomo |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972541597 | NPPES |
Indiana | MEDICAID | 200470040A |
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