Healthcare Provider Details

I. General information

NPI: 1699956979
Provider Name (Legal Business Name): ABBEY ROAD HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5429 BUSH RIVER RD
COLUMBIA SC
29212-3008
US

IV. Provider business mailing address

5429 BUSH RIVER RD
COLUMBIA SC
29212-3008
US

V. Phone/Fax

Practice location:
  • Phone: 803-551-5552
  • Fax: 803-551-2249
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHPC-127
License Number StateSC

VIII. Authorized Official

Name: MR. SEAN A STEINER
Title or Position: CEO
Credential:
Phone: 803-551-5552