INTREPID OF THE LOWCOUNTRY INC. NPI 1194199380

NPI Information

NPI: 1194199380
Provider Name: INTREPID OF THE LOWCOUNTRY, INC.

Doing Business As: INTREPID USA HOSPICE - LOW COUNTRY

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 42D2041011

Address:
201 SIGMA DR STE 130B
SUMMERVILLE, SC
ZIP 29486
Phone: (843) 553-2503
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INTREPID OF THE LOWCOUNTRY, INC. is a hospice care community based in Summerville, SC. INTREPID OF THE LOWCOUNTRY, INC. NPI is 1194199380. The provider is registered as an organization entity type.
The provider Is Doing Business As Intrepid Usa Hospice - Low Country.

The provider's business location address is:

201 SIGMA DR STE 130B
SUMMERVILLE, SC
ZIP 29486-722
Phone: (843) 553-2503
Fax: (843) 766-0500

The provider's authorized official is Robert Parker .
The authorized official title is Cco and has the following contact phone number (214) 445-3750.

The CLIA number assigned to this NPI record is 42D2041011 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/25/2015 and was last updated on 11/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HSP165	MEDICAID	SOUTH CAROLINA
2	HPC-0228	OTHER	SOUTH CAROLINA	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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