Organization · Type 2 NPI

Kershaw Hospital LLC

Community Based Hospice Care Agency · Lugoff, SC

NPI number 1093706970 Active

Practice location

1165 Highway 1 S
Lugoff, SC 29078-8966

Call (803) 425-1916 Map

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	HPC-0210 (SC)

Community Based Hospice Care Agency: Definition to come...

10 other providers at this address

NPI record

NPI: 1093706970
Entity type: Organization (Type 2)
Issued: Oct 31, 2005
Last updated: Mar 12, 2021
Status: Active

Other names

<unavail>
Kershawhealth Hospice · doing business as
Kershawhealth Hospice · doing business as

Authorized official

Kathy J. Teague
Assistant Vice President, Secretary
(615) 920-7000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093706970

Kershaw Hospital LLC's National Provider Identifier is 1093706970, issued on Oct 31, 2005. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Lugoff, SC. The record was last updated on Mar 12, 2021.