EDISTO HOME CARE & HOSPICE, LLC (NPI# 1578098190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578098190 |
| Entity Type | Organization |
| Organization Name | EDISTO HOME CARE & HOSPICE, LLC |
| Practice Address |
1180 Boulevard St Suite C Orangeburg SC 29115-4312 |
| Practice Telephone | 8037073795 |
| Practice Fax Number | 8039972880 |
| Mailing Telephone | 8037073795 |
| Mailing Fax Number | 8039972880 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | KEVIN JACKSON (VICE PRESIDENT) |
| Authorized Official Telephone | 8037073795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1180 BOULEVARD ST SUITE C |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518570944 | Mehul Patel | Physical Therapist | 1180 Boulevard St, Orangeburg, SC 29115-4312 | 2020-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881931772 | Dcq, LLC | Hospice Care, Community Based | 2191 Five Chop Rd, Orangeburg, SC 29115-8000 | 2013-01-11 |
| 1467760058 | Grove Park Pharmacy Hospice Care | Hospice Care, Community Based | 1324 Chestnut Street, Orangeburg, SC 29115 | 2010-09-17 |
| 1558687590 | Carrolton Home Care, LLC | Hospice Care, Community Based | 1890 St. Matthews Road, Orangeburg, SC 29118-1496 | 2010-04-15 |
| 1376744334 | Ocab Community Action Agency, Inc. | Hospice Care, Community Based | 1822 Joe S Jeffords Hwy, Orangeburg, SC 29115-7470 | 2007-05-29 |
| 1780633065 | The Regional Medical Center | Hospice Care, Community Based | 1895 Saint Matthews Rd, Orangeburg, SC 29118-2403 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557950 | Hospice Services of Sc, LLC | Hospice Care, Community Based | 233 West Ave, North Augusta, SC 29841-3813 | 2020-10-26 |
| 1437756467 | Hospice of The Upstate Inc | Hospice Care, Community Based | 1835 Rogers Road, Anderson, SC 29621-2278 | 2020-10-02 |
| 1952918534 | Virtuous Hospice, LLC | Hospice Care, Community Based | 104 W Liberty St, Sumter, SC 29150-5142 | 2020-09-28 |
| 1730727587 | Ardent Hospice & Palliative Care of Sc, Inc. | Hospice Care, Community Based | 910 Mount Gilead Rd Ste B3, Murrells Inlet, SC 29576-7790 | 2019-12-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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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.