KERSHAW HOSPITAL LLC (NPI# 1093706970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093706970 |
| Entity Type | Organization |
| Organization Name | KERSHAW HOSPITAL LLC |
| Other Organization Name | KERSHAWHEALTH HOSPICE |
| Practice Address |
1165 Highway 1 S Lugoff SC 29078-8966 |
| Practice Telephone | 8034251916 |
| Mailing Telephone | 8034251916 |
| Mailing Fax Number | 8037131650 |
| Enumeration Date | 2005-10-31 |
| 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 | 251G00000X | Hospice Care, Community Based | HPC-0210 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | HSP020 | 05 |
| Other Name | Type Code |
|---|---|
| KERSHAWHEALTH HOSPICE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705121 | Kershaw Hospital LLC | Home Health | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-28 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1093705121 | Kershaw Hospital LLC | Home Health | 1165 Highway 1 S, Lugoff, SC 29078-8966 | 2005-10-28 |
| 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 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1366086670 | Heart of Hospice LLC | Hospice Care, Community Based | 115 Blarney Dr Ste 204, Columbia, SC 29223-6291 | 2019-10-30 |
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1609420413 | Vcare Hospice | Hospice Care, Community Based | 48 Saint Mark Rd, Taylors, SC 29687-5233 | 2019-07-30 |
| 1003471848 | Shiron Johnson | Hospice Care, Community Based | 410 W Liberty St Ste 202, Sumter, SC 29150-4865 | 2019-05-07 |
| 1962960054 | Regional Hospice Service | Hospice Care, Community Based | 9153 Two Notch Rd Ste 5, Columbia, SC 29223-5852 | 2019-03-07 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
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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.