TIDEWATER HOSPICE INC. NPI 1205915188

NPI Information

NPI: 1205915188
Provider Name: TIDEWATER HOSPICE, INC.

Doing Business As: CRESCENT HOSPICE

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

Address:
10 BUCKINGHAM PLANTATION DR STE A
BLUFFTON, SC
ZIP 29910
Phone: (843) 757-9388
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TIDEWATER HOSPICE, INC. is a hospice care community based in Bluffton, SC. TIDEWATER HOSPICE, INC. NPI is 1205915188. The provider is registered as an organization entity type.
The provider Is Doing Business As Crescent Hospice.

The provider's business location address is:

10 BUCKINGHAM PLANTATION DR STE A
BLUFFTON, SC
ZIP 29910-503
Phone: (843) 757-9388
Fax: (843) 757-9385

The provider's authorized official is John B. Hunter .
The authorized official title is President & Ceo and has the following contact phone number (434) 235-4123.

The CLIA number assigned to this NPI record is 42D1064857 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/19/2022.

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

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: 5/5/2024

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