KERSHAW HOSPITAL LLC (NPI# 1093705121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093705121 |
| Entity Type | Organization |
| Organization Name | KERSHAW HOSPITAL LLC |
| Other Organization Name | KERSHAWHEALTH HOME HEALTH |
| Practice Address |
1165 Highway 1 S Lugoff SC 29078-8966 |
| Practice Telephone | 8034251182 |
| Mailing Telephone | 8034251182 |
| Mailing Fax Number | 8034326351 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | MR. STEPHEN L. PAGE (VICE PRESIDENT) |
| Authorized Official Telephone | 6158449800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA-0321 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 470467 | 05 |
| Other Name | Type Code |
|---|---|
| KERSHAWHEALTH HOME HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679564702 | Kershaw Hospital LLC | Clinic/Center | 103 South Main Street, Bethune, SC 29009 | 2005-10-28 |
| 1861996142 | Kershaw Hospital LLC | Psychiatric Unit | 1315 Roberts St, Camden, SC 29020-3737 | 2018-03-21 |
| 1629442397 | Kershaw Hospital LLC | Emergency Medicine | 40 Pinnacle Pkwy, Elgin, SC 29045-8390 | 2015-11-18 |
| 1316322027 | Kershaw Hospital LLC | Internal Medicine | 1315 Roberts St, Camden, SC 29020-3737 | 2015-07-23 |
| 1508094913 | Kershaw Hospital LLC | Clinic/Center | 40 Pinnacle Parkway, Building 100, Elgin, SC 29045 | 2009-06-24 |
| 1588737498 | Kershaw Hospital LLC | Clinic/Center | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-16 |
| 1093706970 | Kershaw Hospital LLC | Hospice Care, Community Based | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-31 |
| 1245220300 | Kershaw Hospital LLC | General Acute Care Hospital | 1315 Roberts St, Camden, SC 29020-3737 | 2005-10-28 |
| Street Address |
1165 HIGHWAY 1 S |
| City | LUGOFF |
| State | SC |
| Zip Code | 29078-8966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578850947 | Kelly Lynn Warnock | Nurse Practitioner | 1165 Highway 1 S, Suite 300, Lugoff, SC 29078-8966 | 2011-07-06 |
| 1750609889 | Kershawhealth | Obstetrics & Gynecology | 1165 Highway 1 S, Suite 500, Lugoff, SC 29078-8966 | 2010-05-13 |
| 1538395710 | Sheila T Hoskins | Speech-Language Pathologist | 1165 Highway 1 S, Suite 300, Lugoff, SC 29078-8966 | 2009-06-02 |
| 1659550275 | Center for Pain Control LLC | Pain Medicine | 1165 Highway 1 S, Suite 300, Lugoff, SC 29078-8966 | 2007-10-31 |
| 1447379938 | Sandhills Medical Foundation | Durable Medical Equipment & Medical Supplies | 1165 Highway 1 S, Suite 400, Lugoff, SC 29078-8966 | 2007-03-28 |
| 1508958216 | Apexcare Pa | Pediatrics | 1165 Highway 1 S, Suite 200, Lugoff, SC 29078-8966 | 2006-09-29 |
| 1154435741 | Cathy Porter | Nurse Practitioner | 1165 Highway 1 S, Suite 400, Lugoff, SC 29078-8966 | 2006-08-19 |
| 1215997820 | Olajide A. Balogun | Internal Medicine | 1165 Highway 1 S, Suite 200, Lugoff, SC 29078-8966 | 2006-03-27 |
| 1922099522 | Kershaw County Medical Center | Internal Medicine | 1165 Highway 1 S, Suite 200, Lugoff, SC 29078-8966 | 2005-11-02 |
| 1093706970 | Kershaw Hospital LLC | Hospice Care, Community Based | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006179 | Retireease Senior Services, Inc. | In Home Supportive Care | 12 Dooley Drive, Lugoff, SC 29078 | 2016-07-28 |
| 1770613515 | Claude Harold Varn Jr. | Dentist | P.0.box 325, Lugoff, SC 29078 | 2007-03-07 |
| 1316087364 | Ark Therapeutic Services, Inc | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-02-07 |
| 1326104837 | Allyson Varn Monferdini | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2006-12-29 |
| 1275612269 | Wateree Plaza Drug Corp | Durable Medical Equipment & Medical Supplies | 1053 Hwy 1, Patterson Plaza, Lugoff, SC 29078 | 2006-11-02 |
| 1336589233 | Matthew Allen Nettles | Dentist | 25 Ward Road, Lugoff, SC 29078 | 2013-06-25 |
| 1316214638 | Lynnette Glasscho Tomlin | Physician Assistant | 15 Exchange Dr, Lugoff, SC 29078 | 2011-12-01 |
| 1013124429 | Debra C Lowsky | Speech-Language Pathologist | 862a Highway 1 South, Lugoff, SC 29078 | 2007-05-16 |
| 1285826396 | Durham Russell Maples | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-13 |
| 1508059403 | Dina Maples Blankenship | Chiropractor | 810 Ridgeway Road, Lugoff, SC 29078-0248 | 2007-08-23 |
| Find all providers in zip 29078 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760898753 | Carolyn Triplett | Home Health | 107 Standard Warehouse Rd, Lugoff, SC 29078-9670 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1093315798 | Sharia Henderson | Home Health | 680 Grover Dr, Lyman, SC 29365-9251 | 2020-10-30 |
| 1861091654 | Tenacious Health Care Associates LLC | Home Health | 212 Evergreen St # B, Easley, SC 29642-1415 | 2020-10-22 |
| 1003414616 | Mcleod Home Care, LLC | Home Health | 949 E Main St Ste A, Lexington, SC 29072-4240 | 2020-10-15 |
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1710584842 | True Care Home Care LLC | Home Health | 900b Main St Ste 201, Conway, SC 29526-4063 | 2020-10-01 |
| 1750998076 | Loving Home Care LLC | Home Health | 2250 Peach Orchard Rd, Sumter, SC 29154-1112 | 2020-09-30 |
| 1316554728 | Rosiland Sullivan | Home Health | 8 Sycamore Dr Ste B6, Greenville, SC 29607-2965 | 2020-09-29 |
| 1013524503 | Teia Avery | Home Health | 437 Talbert Rd Apt B3, Mc Cormick, SC 29835-6269 | 2020-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.