Healthcare Provider Details

I. General information

NPI: 1912366527
Provider Name (Legal Business Name): HEARTFELT HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2016
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BLARNEY DR SUITE 204
COLUMBIA SC
29223-6291
US

IV. Provider business mailing address

115 BLARNEY DR SUITE 204
COLUMBIA SC
29223-6291
US

V. Phone/Fax

Practice location:
  • Phone: 803-699-3233
  • Fax:
Mailing address:
  • Phone: 803-699-3233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN E SHROYER JR.
Title or Position: CEO/PRESIDENT
Credential:
Phone: 803-699-3233