Southerncare Cullman
LBN: Southerncare, Inc.
Southerncare Cullman is an health care organization with primary practice located at 417 Main Street , Hanceville AL 35077-5459. 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 (256) 887-0190, or through Kleberg, Jessica via phone (704) 664-2876.
Contact Information
Primary practice address
417 Main Street
Hanceville AL 35077-5459
Phone: (256) 887-0190
Fax: (256) 887-0195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Hospice Care, Community Based | 251G00000X | PENDING | Alabama |
| Agencies / Hospice Care, Community Based | 251G00000X | 10520 | Alabama |
Profile Details
| NPI number | 1619987849 |
|---|---|
| LBN Legal business name | Southerncare, Inc. |
| DBA Doing business as | Southerncare Cullman |
| Authorized official | Kleberg, Jessica |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | May 16th, 2016 - about 10 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 | 1619987849 | NPPES |
| Alabama | Other | E2206 | STATE LICENSE |
| Alabama | MEDICAID | PIC1658E | STATE LICENSE |
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