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NPI Code Detail

MEDICARE: INTERIM HEALTH CARE HOSPICE LLC

MEDICARE: INTERIM HEALTH CARE HOSPICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianSC
2251G00000XCommunity Based Hospice Care AgencyHPC-045SC
3251G00000XCommunity Based Hospice Care AgencyHPC0213SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942250642
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERIM HEALTH CARE HOSPICE LLC
Provider Business Mailing Address
First Line : 16 HYLAND RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5756
Country : US
Telephone Number : 864-627-1200
Fax Number : 864-627-7102
Provider Business Practice Location Address
First Line : 16 HYLAND RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-5756
Country : US
Telephone Number : 864-627-1200
Fax Number : 864-627-7102
Authorized Official
Title or Position : PRESIDENT
Name : MR. RAYMOND REILLY SCHROEDER
Credential :
Telephone Number : 864-627-1200
Provider Enumeration Date : 05/11/2006
Last Update Date : 07/21/2022

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Directions to “INTERIM HEALTH CARE HOSPICE LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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