HOSPICE & PALLIATIVE CARE CHARLOTTE REGION (NPI# 1679991301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679991301 |
| Entity Type | Organization |
| Organization Name | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
| Other Organization Name | HOSPICE & PALLIATIVE CARE PALMETTO REGION |
| Practice Address |
1057 Red Ventures Dr Suite 150 Fort Mill SC 29707-5001 |
| Mailing Address |
Po Box 470408 Charlotte NC 28247-0408 |
| Practice Telephone | 7043750100 |
| Practice Fax Number | 7043758623 |
| Mailing Telephone | 7043750100 |
| Mailing Fax Number | 7048876450 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | MR. PETER A BRUNNICK (PRESIDENT/CEO) |
| Authorized Official Telephone | 7043353501 |
| Authorized Official Credential | C.P.A |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 251G00000X | Hospice Care, Community Based | HPC-0047 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE | 421626 | 01 |
| SC | MEDICARE PART B | H031 | 01 |
| SC | HSP151 | 05 |
| Other Name | Type Code |
|---|---|
| Hospice & Palliative Care Palmetto Region | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570771 | Hospice & Palliative Care Charlotte Region | Family Medicine | 1057 Red Ventures Dr Ste 150, Fort Mill, SC 29707-2518 | 2020-05-21 |
| 1881843076 | Hospice & Palliative Care Charlotte Region | Family Medicine | 7845 Little Ave, Charlotte, NC 28226-8198 | 2008-09-12 |
| 1548398720 | Hospice & Palliative Care Charlotte Region | Pain Medicine | 7845 Little Ave, Charlotte, NC 28226-8198 | 2007-03-01 |
| Street Address |
1057 RED VENTURES DR SUITE 150 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29707-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557950 | Hospice Services of Sc, LLC | Hospice Care, Community Based | 233 West Ave, North Augusta, SC 29841-3813 | 2020-10-26 |
| 1437756467 | Hospice of The Upstate Inc | Hospice Care, Community Based | 1835 Rogers Road, Anderson, SC 29621-2278 | 2020-10-02 |
| 1952918534 | Virtuous Hospice, LLC | Hospice Care, Community Based | 104 W Liberty St, Sumter, SC 29150-5142 | 2020-09-28 |
| 1730727587 | Ardent Hospice & Palliative Care of Sc, Inc. | Hospice Care, Community Based | 910 Mount Gilead Rd Ste B3, Murrells Inlet, SC 29576-7790 | 2019-12-11 |
| 1366086670 | Heart of Hospice LLC | Hospice Care, Community Based | 115 Blarney Dr Ste 204, Columbia, SC 29223-6291 | 2019-10-30 |
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1609420413 | Vcare Hospice | Hospice Care, Community Based | 48 Saint Mark Rd, Taylors, SC 29687-5233 | 2019-07-30 |
| 1003471848 | Shiron Johnson | Hospice Care, Community Based | 410 W Liberty St Ste 202, Sumter, SC 29150-4865 | 2019-05-07 |
| 1962960054 | Regional Hospice Service | Hospice Care, Community Based | 9153 Two Notch Rd Ste 5, Columbia, SC 29223-5852 | 2019-03-07 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.