Kershaw Hospital LLC
Organization Active NPI Home Health Agency · Lugoff, SC
NPI 1093705121 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1093705121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA-0321 (SC)
- Legal business name
- KERSHAW HOSPITAL LLC
- Practice address
- 1165 Highway 1 S
Lugoff, SC 29078-8966 - Phone
- (803) 425-1182
- NPI assigned
- Oct 28, 2005
- Organization subpart
- No
Authorized official
- Name
- Kathy J. Teague
- Title
- Assistant Vice President, Secretary
- Phone
- (615) 920-7000
Practitioners 4
-
Shayla C Freeman, M.D.
-
Paraag Ravi Bhatt, M.D.
-
Sean O. Bryant, M.D.
-
Yoel Kim, MD
National Provider Directory
Locations
2001 W DeKalb St
Camden, SC 29020
Phone (803) 425-1916
40 Pinnacle Pkwy
Bldg 1
Elgin, SC 29045
Phone (803) 424-8022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-0321 | SC | Yes |
Addresses
Primary practice location
1165 Highway 1 S
Lugoff, SC 29078-8966
Mailing address
1165 Highway 1 S
Lugoff, SC 29078-8966
Phone (803) 425-1182
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470467 | Medicaid | SC |
Other names
- KERSHAWHEALTH HOME HEALTH
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kershawdonotreply@kershaw.direct.schiex.state.sc.us |
Other providers in Lugoff, SC
- Robert Kabakjian Sr.
- Min Kang
- James C Kearse III
- Crystal Keith
- Kershaw County Medical Center
- Kershaw Hospital LLC
- Kershawhealth
- Kershawhealth
- Alexa Adams Knox
- Harry J Koutroulakis
All providers in Lugoff, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.