Organization Active NPI

Beacon Hospice, LLC

  • Community Based Hospice Care Agency
  • Mount Pleasant, SC
National Provider Identifier
1174671606
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC-0113 Issued in SC
Legal business name
BEACON HOSPICE, LLC
Practice address
501 Wando Park Blvd.
Suite 100
Mt. Pleasant, SC 29464
Phone
(843) 972-0500
Fax
(843) 972-0501
NPI assigned
Jan 8, 2007
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mrs. Sharon Taylor
Title
Director
Phone
(843) 972-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HPC-113 SC
Community Based Hospice Care Agency 251G00000X HPC-0113 SC Primary

Addresses

Primary practice location

501 Wando Park Blvd.
Suite 100
Mt. Pleasant, SC 29464

Mailing address

501 Wando Park Blvd.
Suite 100
Mt. Pleasant, SC 29464
Phone (843) 972-0500

Other identifiers 1

IdentifierTypeStateIssuer
HSP090MedicaidSC

Other names 1

  • Hospice of Mt. Pleasant, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

123 W Home Ave
Hartsville, SC 29550
Phone (843) 287-4589

1224 Village Creek Ln
Apt A3
Mt Pleasant, SC 29464
Phone (843) 972-0500

501 Wando Park Blvd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 972-0500

3959 Highway 17
Ste D
Murrells Inlet, SC 29576
Phone (843) 357-9773

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1174671606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WANDO PARK BLVD.",
            "address_2": "SUITE 100",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-972-0500",
            "fax_number": "843-973-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WANDO PARK BLVD.",
            "address_2": "SUITE 100",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-972-0500",
            "fax_number": "843-972-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-972-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-113",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Mt. Pleasant, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.