MEDICARE: CENDA HEMINGWAY

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	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1932064151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CENDA HEMINGWAY

Provider Business Mailing Address
First Line	:	391 GORETOWN LOOP
Second Line	:
City	:	LORIS
State	:	SC
Zip	:	29569-3909
Country	:	US
Telephone Number	:	843-283-8572
Fax Number	:

Provider Business Practice Location Address
First Line	:	391 GORETOWN LOOP
Second Line	:
City	:	LORIS
State	:	SC
Zip	:	29569-3909
Country	:	US
Telephone Number	:	843-283-8572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ CENDA HEMINGWAY ” Practice Location

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