SOUTHERN CARE BLOOMINGTON
NPI 1710927298
Hospice Care, Community Based in Bloomington, IN

NPI Status: Active since June 07, 2006

Contact Information

1923 S LIBERTY DR
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 334-8343
Fax: (812) 334-8949

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance

About SOUTHERN CARE BLOOMINGTON

This page provides the complete NPI Profile along with additional information for Southern Care Bloomington, a provider established in Bloomington, Indiana operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1710927298 assigned on June 2006. The practitioner's primary taxonomy code is 251G00000X with license number 14-002998-1 (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Southern Care Bloomington. The authorized official of this NPI record is Jessica Kleberg (Vp Of Legal Affairs)

NPI
1710927298
Provider Legal Name
SOUTHERNCARE, INC.
Other Organization Name
SOUTHERN CARE BLOOMINGTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1923 S LIBERTY DR BLOOMINGTON, IN 47403
Location Phone
(812) 334-8343
Location Fax
(812) 334-8949
Mailing Address
655 BRAWLEY SCHOOL RD SUITE 200 MOORESVILLE, NC 28117
Mailing Phone
(704) 664-2876
Mailing Fax
(812) 334-8949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
05-16-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
14-002998-1
License State
IN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251G00000XAgencies

Hospice Care, Community Based

SATELLITE OFFICE (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
  • Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSICA KLEBERG

Authorized Official Title
VP OF LEGAL AFFAIRS
Authorized Official Phone
(704) 664-2876

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
15-1572MEDICARE PIN (08)IN 
200424080BMEDICAID (05)IN 
151572MEDICARE OSCAR/CERTIFICATION (06) 

Reviews for SOUTHERN CARE BLOOMINGTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710927298
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272018214218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 2 + 1 + 4 + 2 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1710927298 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295506566 BAILEIGH J MARTIN
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1437932126 KOLTON BRADLEY MILLER RBT
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 360-4460
1457134488 MACKENZIE ROSE BROWNING
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1619742079 ANNA MARIE WENRICH RBT
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1881473692MS. EMMILY MARIE GODSEY RBT
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 363-3798
1922703040 ZACHARY B CHANEY
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1770193997 JORDAN MACKENZIE HASLER BCBA
Individual
Behavior Analyst1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1508695339 TIANE LANE
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1437963386 ALEYSIAH ANN SARVER
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1053629246REACH HIGH CONSULTING AND THERAPY, LLC
Organization
Behavior Analyst1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1720888589 TONYA TUCKER
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1134913551 KYLA WELCH
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1235923657 JOHN CARTER RBT
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460
1780579672 JAYLEN LOVE RBT
Individual
Behavior Technician1923 S LIBERTY DR
BLOOMINGTON, IN 47403
(812) 330-4460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710927298, enumerated in the NPI registry as an "organization" on June 07, 2006

The provider is located at 1923 S Liberty Dr Bloomington, In 47403 and the phone number is (812) 334-8343

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.