SOUTHERNCARE, INC.
NPI 1073212577
Hospice Care, Community Based in Rockford, IL

Q: What is Southerncare, Inc.'s NPI number?

The NPI number for Southerncare, Inc. is 1073212577. It was assigned to this organization in the NPPES registry on February 23, 2023. The provider is doing business as Heartland Hospice (Rockford).

Q: What is Southerncare, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Active since February 23, 2023CLIA 14D1019428 · Waiver

6000 E STATE ST STE 1, ROCKFORD, IL 61108(815) 397-3691(815) 397-8760 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 21, 2026, Feb 23, 2023 (2 updates tracked since 2023).

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About Southerncare, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERNCARE, INC. (NPI 1073212577), doing business as Heartland Hospice (rockford), is a healthcare organization registered as a hospice care, community based in Rockford, Illinois and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through November 17, 2027, maintains a secondary practice location in Sycamore, and lists Jennifer Tyler, Vp Of Regulatory Counsel, as its authorized official.

NPPES Registry Identity

NPI1073212577

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NameSOUTHERNCARE, INC.

Location Address6000 E STATE ST STE 1Rockford, IL 61108-2521

Mailing AddressPo Box 4060, Attn: RegulatoryMooresville, NC 28117-4060 · (704) 664-2876 · Fax (704) 230-0946

Phone(815) 397-3691

Fax(815) 397-8760

Organization SubpartNo

Authorized OfficialJennifer TylerVp Of Regulatory Counsel · (704) 664-2876

Enumeration DateFebruary 23, 2023

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1073212577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

6000 E STATE ST STE 1, Rockford, IL 61108

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Other Names 1

Doing Business AsHeartland Hospice (rockford)

Secondary Practice Location 1

Location 12600 Dekalb Ave Ste HSycamore, IL 60178-3132 · Phone (815) 981-9066 · Fax (815) 981-9074

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1019428

Southerncare, Inc Heartland Hospice (rockford) · Rockford, IL

Active · expires Nov 17, 2027

CLIA Number14D1019428

Laboratory TypeHospice

Certificate Effective DateNovember 18, 2025

Certificate Expiration DateNovember 17, 2027

Laboratory DirectorSelece Beasley

Laboratory Phone(815) 397-3691

Laboratory LocationSoutherncare, Inc Heartland Hospice (rockford)6000 E State St - Ste 1, Rockford, IL 61108

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY JACOBSON NP

Nurse Practitioner (Family)