SOUTHERNCARE LUCEDALE
NPI 1396784732
Hospice Care, Community Based in Lucedale, MS

Active since June 04, 2006
98 GLEN OAKS DR, LUCEDALE, MS 39452(662) 578-4072(662) 578-7956 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southerncare Lucedale NPPES

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

SOUTHERNCARE LUCEDALE (NPI 1396784732) is a healthcare organization registered as a hospice care, community based in Lucedale, Mississippi and active in the NPI registry since June 2006. The organization lists Jessica Kleberg, Vp Of Legal Affairs, as its authorized official.

NPPES Registry Identity

NPI1396784732
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSOUTHERNCARE, INC.
Location Address98 GLEN OAKS DRLucedale, MS 39452-5857
Mailing Address655 Brawley School Rd, Suite 200Mooresville, NC 28117-9125 · (704) 664-2876 · Fax (704) 664-1306
Fax(662) 578-7956
Organization SubpartNo
Authorized OfficialJessica KlebergVp Of Legal Affairs · (704) 664-2876
Enumeration DateJune 4, 2006
Last NPPES UpdateMay 16, 2016
NPI 1396784732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in MS · 039
98 GLEN OAKS DR, Lucedale, MS 39452

Other Names 1

Doing Business AsSoutherncare Lucedale

Other Identifiers 3

Medicaid00770379MS
Medicare PIN25-1537MS
Medicare OSCAR/certification251537

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southerncare, Inc.'s NPI number?

The NPI number for Southerncare, Inc. is 1396784732. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Southerncare Lucedale.

Where is Southerncare, Inc. located?

Southerncare, Inc. is located at 98 Glen Oaks Dr, Lucedale, MS 39452. The listed phone number is (662) 578-4072.

What is Southerncare, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Southerncare, Inc. was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.