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SOUTHERNCARE GREEN BAY
NPI 1992744775
Hospice Care, Community Based in Green Bay, WI

Active since June 06, 2006
1800 W MASON ST STE A, GREEN BAY, WI 54303(920) 496-1690(920) 496-1693 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2017, May 16, 2016 (2 updates tracked since 2016).

About Southerncare Green Bay NPPES

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

SOUTHERNCARE GREEN BAY (NPI 1992744775) is a healthcare organization registered as a hospice care, community based in Green Bay, Wisconsin 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

NPI1992744775
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSOUTHERNCARE, INC.
Location Address1800 W MASON ST STE AGreen Bay, WI 54303-2333
Mailing Address655 Brawley School Rd, Suite 200Mooresville, NC 28117-9125 · (704) 664-2876 · Fax (704) 664-1306
Phone(920) 496-1690
Fax(920) 496-1693
Organization SubpartNo
Authorized OfficialJessica KlebergVp Of Legal Affairs · (704) 664-2876
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 13, 20172 updates tracked since enumeration
✔ NPI 1992744775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in WI · 2016
1800 W MASON ST STE A, Green Bay, WI 54303
Open in Google Maps ↗

Other Names 1

Doing Business AsSoutherncare Green Bay

Other Identifiers 4

Medicaid43191100WI
Medicare OSCAR/certification521581WI
Other2016WI · State License Number
Medicare PIN52-1581WI

Other Providers at the Same Location NPPES

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

MID-SOUTH HOME CARE SERVICES, LLC
Internal Medicine (Hospice and Palliative Medicine)
1800 W MASON ST STE A
GREEN BAY, WI 54303
Brown County (920) 471-4761

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 1992744775. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Southerncare Green Bay.

Where is Southerncare, Inc. located?

Southerncare, Inc. is located at 1800 W Mason St Ste A, Green Bay, WI 54303. The listed phone number is (920) 496-1690.

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 November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.