Healthcare Provider Details

I. General information

NPI: 1376717108
Provider Name (Legal Business Name): EMBRACE HOSPICE OF SOUTH CAROLINA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 MEDICAL PARK DR STE B
HARTSVILLE SC
29550-4782
US

IV. Provider business mailing address

1113 44TH AVE N STE 300
MYRTLE BEACH SC
29577-5782
US

V. Phone/Fax

Practice location:
  • Phone: 843-332-2221
  • Fax:
Mailing address:
  • Phone: 843-491-5746
  • Fax: 843-808-9109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateSC

VIII. Authorized Official

Name: MR. ERIK ANTHONY SINEGAL
Title or Position: C.F.O.
Credential:
Phone: 843-491-1442