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HOMESTEAD HOSPICE OF COLUMBIA LLC NPI 1427794817


NPI Information

NPI: 1427794817
Provider Name: HOMESTEAD HOSPICE OF COLUMBIA LLC

Doing Business As: TRADITIONS HEALTH OF COLUMBIA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
7825 BROAD RIVER RD STE 100
IRMO, SC
ZIP 29063
Phone: (803) 509-8844
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HOMESTEAD HOSPICE OF COLUMBIA LLC is a clinic center in Irmo, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HOMESTEAD HOSPICE OF COLUMBIA LLC NPI is 1427794817. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Health Of Columbia.

The provider's business location address is:

7825 BROAD RIVER RD STE 100
IRMO, SC
ZIP 29063-375
Phone: (803) 509-8844
Fax: (803) 509-8845

The provider's authorized official is David R Klementz .
The authorized official title is President & Ceo and has the following contact phone number (979) 704-6547.

The enumeration date for this NPI number is 5/9/2022 and was last updated on 9/12/2023.


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
1261Q00000XClinic/CenterYes

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

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.