NPI 1073212577
Southerncare, INC.
Practice location
- Address
- 6000 E State St STE 1, Rockford, IL 61108-2521
- Phone
- (815) 397-3691
- Fax
- (815) 397-8760
- Mailing address
- PO Box 4060 Attn: Regulatory, Mooresville, NC 28117-4060
Authorised official
- Name
- Jennifer Tyler
- Title
- Vp of Regulatory Counsel
- Phone
- (704) 664-2876
Registered specialties
Community Based Hospice Care Agency
Primary
Registry record
- NPI
- 1073212577
- Entity type
- Organization
- NPI issued
- 23 Feb 2023
- Record last updated
- 21 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.