MEDICARE: HELPING HANDS HOSPICE OF SOUTH CAROLINA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1083198469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS HOSPICE OF SOUTH CAROLINA LLC

Provider Business Mailing Address
First Line	:	136 SPORTHORSE LN
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-2930
Country	:	US
Telephone Number	:	803-295-6478
Fax Number	:	803-306-6703

Provider Business Practice Location Address
First Line	:	136 SPORTHORSE LN
Second Line	:
City	:	AIKEN
State	:	SC
Zip	:	29803-2930
Country	:	US
Telephone Number	:	803-295-6478
Fax Number	:	803-306-6703

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. KASHIF NASEEM
Credential	:	MD
Telephone Number	:	706-496-2573

Provider Enumeration Date	:	09/20/2018
Last Update Date	:	09/20/2018

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