HEARTLAND HOSPICE SERVICES GREENVILLE NPI 1285759399

NPI Information

NPI: 1285759399
Provider Name: HEARTLAND HOSPICE SERVICES GREENVILLE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 42D1039073

Address:
421 SE MAIN STREET
SUITE 100
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 963-0045
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HEARTLAND HOSPICE SERVICES GREENVILLE is a hospice care community based in Simpsonville, SC. HEARTLAND HOSPICE SERVICES GREENVILLE NPI is 1285759399. The provider is registered as an organization entity type.

The provider's business location address is:

421 SE MAIN STREET
SUITE 100
SIMPSONVILLE, SC
ZIP 29681-695
Phone: (864) 963-0045

The provider's authorized official is Phyllis P Reynolds .
The authorized official title is Administrator and has the following contact phone number (864) 963-0045.

The CLIA number assigned to this NPI record is 42D1039073 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.

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		HPC-096	SOUTH CAROLINA	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	HSP067	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: 5/5/2024

NPI Synchronization or Removal

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