Hadora Hospice of the Carolinas

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

20134688945919 Issued in SC

Legal business name

HADORA HOSPICE OF THE CAROLINAS

Practice address

6156 Saint Andrews Rd
Columbia, SC 29212-3147

Phone

(803) 667-9012

Fax

(803) 807-9377

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Laurin Green

Title

Owner

Phone

(803) 667-9012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Hospice certification: CCN 421636

Legal name

HADORA HOSPICE OF THE CAROLINAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 5, 2019

Last certification

Aug 31, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Enrollment address

6156 Saint Andrews Rd
Ste 208
Columbia, SC 29212-3147

Listed as

Hadora Hospice of the CarolinasCCN 421636

Ownership

For-Profit

Certified

Nov 5, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda Campbell

  • Contractor
  • Columbia, SC
  • NPI 1538513494
  NPD
• Lawrin Green

  • Community Based Hospice Care Agency
  • Columbia, SC
  • NPI 1851714000
  NPD
• Tomeka Nichole Jackson, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1588274765
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cynthia L Matthews-Betts, M.D.

  • Internal Medicine Physician
  • Columbia, SC
  • NPI 1588750103

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1154757474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290631671",
            "telephone_number": "803-667-9012",
            "fax_number": "803-807-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123147",
            "telephone_number": "803-667-9012",
            "fax_number": "803-807-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADORA HOSPICE OF THE CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LAURIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-667-9012"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "SC",
            "license": "20134688945919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Hunter Hackett, MD
• Dylan Roger Hackley, PTA
• Monica Hagler Haddock, LMSW
• Majid Mark Haditaghi, MD
• De'Onna Hadley
• Jack Hampton Hadwin
• Randall Hadwin
• Brittanie Hagen, MD
• Karissa M Hagen, NP
• Clinton R Haggard, ATC, LAT, NREMT-B

• Inpatient Hospice in Columbia, SC
• Providers in Columbia, SC by specialty
• Inpatient Hospice in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.