WIREGRASS HOSPICE OF SOUTH CAROLINA LLC NPI 1780849026

NPI Information

NPI: 1780849026
Provider Name: WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC

Doing Business As: GENTIVA

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

Address:
4975 LACROSS RD STE 200A
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 529-3100
Get Directions

WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC is a hospice care community based in North Charleston, SC. WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC NPI is 1780849026. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

4975 LACROSS RD STE 200A
NORTH CHARLESTON, SC
ZIP 29406-531
Phone: (843) 529-3100

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 42D1051438 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 1/17/2023.

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	315D00000X	Hospice, Inpatient				No
2	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	HSP-102	MEDICAID	SOUTH CAROLINA

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

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.

« Previous NPI

Next NPI »