Organization · Type 2 NPI

Southerncare , Inc.

Community Based Hospice Care Agency · Suffolk, VA

NPI number 1104346923 Active

Practice location

1037 Champions Way Ste 600
Suffolk, VA 23435

Call (757) 366-0432 Map

Fax (844) 358-6586

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601

Other practice locations

1403 Greenbrier Pkwy Ste 230, Chesapeake, VA 23320-0690 · (757) 366-0432

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

3 other providers at this address

Other community based hospice care agency providers in Suffolk

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NPI record

NPI: 1104346923
Entity type: Organization (Type 2)
Issued: Jun 22, 2017
Last updated: Jul 24, 2018
Status: Active

Other names

<unavail>
New Century Hospice · doing business as
New Century Hospice - Suffolk · doing business as

Authorized official

Jessica Kleberg
VP of Legal Affairs
(704) 662-0414

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104346923

Southerncare , Inc.'s National Provider Identifier is 1104346923, issued on Jun 22, 2017. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Suffolk, VA. The record was last updated on Jul 24, 2018.