MEDICARE: HOSPICE CARE OF SOUTH CAROLINA, LOWCOUNTRY, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1235794264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE CARE OF SOUTH CAROLINA, LOWCOUNTRY, LLC

Provider Business Mailing Address
First Line	:	187 N CHURCH ST STE 201
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306-5154
Country	:	US
Telephone Number	:	800-932-2738
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 STONEMARK LN STE 100B
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-3881
Country	:	US
Telephone Number	:	866-618-4673
Fax Number	:	888-847-9306

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	PAMELA DUNCAN
Credential	:
Telephone Number	:	800-932-2738

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	04/23/2024

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