Organization · Type 2 NPI

Southerncare, Inc.

Community Based Hospice Care Agency · Youngstown, OH

NPI number 1104864198 Active

Practice location

970 Windham Ct Ste 9
Youngstown, OH 44512-5082

Call (330) 797-8940 Map

Fax (330) 797-8943

Mailing address

PO Box 4060, Attn Regulatory
Mooresville, NC 28117-4060

Other practice locations

9501 US Highway 250 N Ste 2, Milan, OH 44846-9377 · (567) 401-0200
2300 W 4th St Ste 100, Ontario, OH 44906-1205 · (419) 774-0555
3570 Executive Dr Ste 112, Uniontown, OH 44685-8712 · (330) 920-1909
100 Welday Ave Ste G, Wintersville, OH 43953-3779 · (740) 217-2420
6545 W Central Ave Ste 103, Toledo, OH 43617-1034 · (419) 843-6106

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	0140HSP (OH)

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

Other community based hospice care agency providers in Youngstown

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NPI record

NPI: 1104864198
Entity type: Organization (Type 2)
Issued: Jun 3, 2006
Last updated: Jun 15, 2026
Status: Active

Other names

<unavail>
Southerncare Youngstown · doing business as
Southerncare Youngstown · doing business as

Authorized official

Jennifer Tyler
VP Regulatory Counsel
(678) 449-0459

Verify this record

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 1104864198

Southerncare, Inc.'s National Provider Identifier is 1104864198, issued on Jun 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Youngstown, OH. The record was last updated on Jun 15, 2026.