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NPI 1114925369

NPI 1114925369 : HOSPICE OF CHARLESTON, INC. : NORTH CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1114925369
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPICE OF CHARLESTON, INC. 
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Dates
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    Enumeration Date     |    07/12/2005
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    3870 LEEDS AVE SUITE 101
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29405-7493
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    Country              |    US
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    Telephone            |    843-529-3100
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    Fax                  |    843-266-3489
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Provider Business Mailing Address
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    Address Line         |    3870 LEEDS AVE SUITE 101
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    City                 |    NORTH CHARLESTON
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    State                |    SC
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    Zip                  |    29405-7493
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    Country              |    US
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    Telephone            |    843-529-3100
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    Fax                  |    843-266-3489
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Authorized Official
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    Title or Position    |    OUTCOMES MANAGER
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    Name                 |    MRS. SHARON WISE RINEHART 
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    Credential           |    RN
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    Telephone            |    843-529-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    HPC-007
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    License Number State |    SC
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