Healthcare Provider Details

I. General information

NPI: 1447497961
Provider Name (Legal Business Name): HOSPICE OF THE CAROLINA FOOTHILLS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2009
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 FAIRWINDS RD.
LANDRUM SC
29356-9075
US

IV. Provider business mailing address

PO BOX 127
LANDRUM SC
29356-0127
US

V. Phone/Fax

Practice location:
  • Phone: 864-457-9100
  • Fax:
Mailing address:
  • Phone: 864-457-9100
  • Fax: 864-457-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberHPF0015
License Number StateSC

VIII. Authorized Official

Name: JEAN H ECKERT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 828-894-7000