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General NPI Number Information
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NPI Number | 1700329455
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Entity Type | Organization
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Legal Business Name | DIVINE HOSPICE LLC
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3441 PELHAM RD STE 101
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City | GREENVILLE
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State | SC
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Zip | 29615-4184
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Country | US
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Telephone | 864-965-7660
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Fax | 864-751-2906
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Provider Business Mailing Address
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Address Line | 135 GEMINI CIR STE 202
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City | BIRMINGHAM
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State | AL
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Zip | 35209-5842
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Country | US
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Telephone | 205-949-0400
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Fax | 205-949-0405
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER SMITH
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Credential |
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Telephone | 205-949-0400
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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 |
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License Number State |
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