NPIMap

Organization Active NPI

Kershaw Hospital LLC

Doing business as Kershawhealth Home Health

  • Home Health Agency
  • Lugoff, SC
National Provider Identifier
1093705121
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-0321 Issued in SC
Legal business name
KERSHAW HOSPITAL LLC
Doing business as
Kershawhealth Home Health
Practice address
1165 Highway 1 S
Lugoff, SC 29078-8966
Phone
(803) 425-1182
NPI assigned
Oct 28, 2005
Last updated
Mar 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-0321 SC Primary

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 names 1

  • KERSHAWHEALTH HOME HEALTH Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kershawdonotreply@kershaw.direct.schiex.state.sc.us

National Provider Directory

National Provider Directory

Locations

40 Pinnacle Pkwy
Bldg 1
Elgin, SC 29045
Phone (803) 424-8022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1093705121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 HIGHWAY 1 S",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788966",
            "telephone_number": "803-425-1182",
            "fax_number": "803-432-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 HIGHWAY 1 S",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290788966",
            "telephone_number": "803-425-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-0321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kershawdonotreply@kershaw.direct.schiex.state.sc.us",
            "affiliation": "N",
            "address_1": "1165 Highway 1 S",
            "city": "Lugoff",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290788966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KERSHAWHEALTH HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KERSHAWHEALTH HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lugoff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.