Healthcare Provider Details

I. General information

NPI: 1881513364
Provider Name (Legal Business Name): CLARITY HOSPICE OF SC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4728 JENN DR STE 102
MYRTLE BEACH SC
29577-5714
US

IV. Provider business mailing address

1817 NEWMAN BRANCH RD
NEW ZION SC
29111-9101
US

V. Phone/Fax

Practice location:
  • Phone: 609-515-4759
  • Fax:
Mailing address:
  • Phone: 609-515-4759
  • 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: DAN MIKUS
Title or Position: MANAGER
Credential:
Phone: 609-335-7198