Organization · Type 2 NPI
Southerncare, Inc.
Community Based Hospice Care Agency · Portage, MI
NPI number
1114965688
Active
Practice location
1911 West Center Avenue, Suite 1
Portage, MI 49024-5367
Fax (269) 342-9462
Mailing address
655 Brawley School Rd, Suite 200
Mooresville, NC 28117-9125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 393525 (MI) |
| Community Based Hospice Care Agency Primary | 251G00000X | 1041000077 (MI) |
Community Based Hospice Care Agency: Definition to come...
Other community based hospice care agency providers in Portage
About NPI 1114965688
Southerncare, Inc.'s National Provider Identifier is 1114965688, issued on Jun 4, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Portage, MI. The record was last updated on Apr 7, 2026.