DIVINE HOSPICE LLC NPI 1700329455

NPI Information

NPI: 1700329455
Provider Name: DIVINE HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 42D2125172

Address:
115 WEST BENTON STREET
ANDERSON, SC
ZIP 29624
Phone: (864) 965-7660
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DIVINE HOSPICE LLC is a hospice care community based in Anderson, SC. DIVINE HOSPICE LLC NPI is 1700329455. The provider is registered as an organization entity type.

The provider's business location address is:

115 WEST BENTON STREET
ANDERSON, SC
ZIP 29624
Phone: (864) 965-7660
Fax: (864) 751-2906

The provider's authorized official is Rick Cantrell .
The authorized official title is Ceo and has the following contact phone number (205) 949-0400.

The CLIA number assigned to this NPI record is 42D2125172 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 3/14/2024.

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

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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