HOSPICE CARE OF SUMTER, LLC - NPI NUMBER 1245552603

Summary

Provider Name: HOSPICE CARE OF SUMTER, LLC

NPI Number: 1245552603

Clasification: Hospice Care, Community Based (251G00000X)

Address:
112 BROAD ST
SUMTER, SC
ZIP 29150

Phone Number: (803) 883-5606



Detailed Information

HOSPICE CARE OF SUMTER, LLC is a community based hospice care in Sumter, SC. The assigned NPI number for this provider is 1245552603 and is registered as an organization entity type.

The provider's business address is:

112 BROAD ST
SUMTER, SC
ZIP 29150-207
Phone: (803) 883-5606

The provider's authorized official is Roosevelt Rutledge .
The authorized official title is President/ceo and has the following contact phone number (803) 883-5606.

The enumeration date for this NPI number is 2/25/2010 and was last updated on 10/2/2014.

Map - Location of Practice

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Taxonomy Codes

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

NPI Record

No. Field Name Field Value
1 NPI 1245552603
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name HOSPICE CARE OF SUMTER, LLC
5 Provider First Line Business Practice Location Address 112 BROAD ST
6 Provider Business Practice Location Address City Name SUMTER
7 Provider Business Practice Location Address State Name SC
8 Provider Business Practice Location Address Postal Code 291504207
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 8038835606
11 Provider Enumeration Date 2/25/2010
12 Last Update Date 10/2/2014
13 Authorized Official Last Name RUTLEDGE
14 Authorized Official First Name ROOSEVELT
15 Authorized Official Title or Position PRESIDENT/CEO
16 Authorized Official Telephone Number 8038835606
17 Healthcare Provider Taxonomy Code 1 251G00000X
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Organization Subpart N
20 Authorized Official Name Prefix Text MS.

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.