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HOSPICE & PALLIATIVE CARE CHARLOTTE REGION NPI 1417570771


NPI Information

NPI: 1417570771
Provider Name: HOSPICE & PALLIATIVE CARE CHARLOTTE REGION

Doing Business As: VIA HEALTH PARTNERS

Classification: Family Medicine - 207QH0002X
Entity Type: Organization

Specialization: Hospice and Palliative Medicine

CLIA Number: 42D2133600

Address:
1057 RED VENTURES DR STE 150
FORT MILL, SC
ZIP 29707
Phone: (803) 548-3708
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HOSPICE & PALLIATIVE CARE CHARLOTTE REGION is a hospice and palliative medicine family medicine in Fort Mill, SC. The provider is a family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. HOSPICE & PALLIATIVE CARE CHARLOTTE REGION NPI is 1417570771. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Via Health Partners.

The provider's business location address is:

1057 RED VENTURES DR STE 150
FORT MILL, SC
ZIP 29707-518
Phone: (803) 548-3708
Fax: (803) 431-2249

The provider's authorized official is Peter A Brunnick .
The authorized official title is President/ Ceo and has the following contact phone number (704) 335-3501.

The CLIA number assigned to this NPI record is 42D2133600 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2020 and was last updated on 9/18/2023.


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
1207QH0002XFamily MedicineHospice and Palliative MedicineYes

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
1GP8345MEDICAIDSOUTH 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

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