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Contact Information

HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
1061 RED VENTURES DR STE 130
FORT MILL, SC29707-2516
 Phone: 803-548-3708
 Fax: 704-887-6450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HOSPICE & PALLIATIVE CARE CHARLOTTE REGION

NPI Number 1679991301
LBN Legal business name HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Authorized official PETER BRUNNICK - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/31/2014
Last updated 01/24/2025 - More than a year ago
Identifiers
SC License # HPC-0047
SC Medicaid HSP151
SC Other 421626 MEDICARE
SC Other H031 MEDICARE PART B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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