NPIMap

Organization Active NPI

Tidewater Hospice, Inc.

Doing business as Crescent Hospice

  • Community Based Hospice Care Agency
  • Bluffton, SC
National Provider Identifier
1205915188
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TIDEWATER HOSPICE, INC.
Doing business as
Crescent Hospice
Practice address
10 Buckingham Plantation Dr Ste a
Bluffton, SC 29910-6503
Phone
(843) 757-9388
Fax
(843) 757-9385
NPI assigned
Nov 3, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Chelsea Ekenseair
Title
Sr MGR Legal & Regulatory Affairs
Phone
(857) 331-6275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

10 Buckingham Plantation Dr Ste a
Bluffton, SC 29910-6503

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711

Other identifiers 2

IdentifierTypeStateIssuer
HSP087MedicaidSC
HPC-0119OtherSCSTATE LICENSE

Other names 1

  • Crescent Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000143 SC Part A Provider - Hospice 0648378893 Practice locations: Aiken, SC; Port Royal, SC; Bluffton, SC; Orangeburg, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205915188. Details of each certification follow.

Hospice certification: CCN 421574

Legal name
TIDEWATER HOSPICE, INC.
Doing business as
CRESCENT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 18, 2007
Last certification
Aug 26, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 31, 2006 in SC
Enrollment address
10 Buckingham Plantation Dr
Ste a
Bluffton, SC 29910-6503

Care Compare: Hospice

Medicare Care Compare
Listed as
Crescent HospiceCCN 421574 · All quality measures
Ownership
For-Profit
Certified
Sep 18, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1064857Tidewater Dba Crescent Hospice10 Buckingham Plantation Drive,, Bluffton, SC 29910Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory

Locations

4257 Whiskey Rd
#A
Aiken, SC 29803
Phone (803) 514-5210

10 Buckingham Plantation Dr
#A
Bluffton, SC 29910
Phone (843) 757-9388

181 Bluffton Rd
Ste B102
Bluffton, SC 29910
Phone (843) 757-9388

1705 Village Park Dr
Ste 1705
Orangeburg, SC 29118
Phone (839) 854-8071

2208 Mossy Oaks Rd
Port Royal, SC 29935
Phone (843) 379-0555

3035 Argent Blvd
Ridgeland, SC 29936
Phone (843) 987-3200

103 S Pine St
Ste 201
Spartanburg, SC 29302
Phone (864) 541-0137

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
THL Equity Fund VIII Investors (Hospice Care), L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 29.16%
Jesse Reo Moore Individual Corporate OfficerChief Administrative Officer May 26, 2021
W-2 Managing EmployeeChief Administrative Officer May 26, 2021
Care Hospice, Inc. Organization, Charlottesville, VA Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2019 100%
Thomas H. Lee Equity Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 15.07%
Thomas H. Lee Parallel Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 27.44%
Care Hospice Acquisition, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2019 100%
Amy Wall Individual W-2 Managing EmployeeAd; May 18, 2020
Hospice Care Buyer, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Hospice Care Holdings, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Randy Raissa Lagoc-Dingus Individual Contracted Managing EmployeeMD; Jun 1, 2022
Bart K Valdez Individual Corporate OfficerCeo Jan 6, 2025
W-2 Managing EmployeeCeo Jan 6, 2025
Hospice Care Intermediate I, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Grant Brown Individual Corporate OfficerChief Financial Officer Dec 10, 2021
W-2 Managing EmployeeExecutive Vice President Aug 1, 2019
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Apr 13, 2017 9.42%
Hospice Care Intermediate II, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Dana K Reid Individual Corporate OfficerSVP Compliance, Regulatory, Privacy Jan 4, 2025
W-2 Managing EmployeeSVP Compliance, Regulatory, Privacy Jan 4, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Crescent Hospice, Inc.
    • Community Based Hospice Care Agency
    • Columbia, SC
    • NPI 1407140387

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • All Caring Hospice Cincinnati Dayton LLC

    dba Sanctuary Hospice

    • Community Based Hospice Care Agency
    • Mason, OH
    • NPI 1942720388

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • All Caring Hospice, LLC

    dba Sanctuary Hospice

    • Community Based Hospice Care Agency
    • Canfield, OH
    • NPI 1952692543

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Alleo Health of Florida LLC

    dba Hospice of Florida

    • Community Based Hospice Care Agency
    • Jacksonville, FL
    • NPI 1376240788

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Alliance Hospice LLC

    dba Crescent Hospice

    • Community Based Hospice Care Agency
    • Augusta, GA
    • NPI 1043303753

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Alpha Omega Hospice LP

    dba Alpha Omega Hospice

    • Community Based Hospice Care Agency
    • Weatherford, TX
    • NPI 1972611143

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Brookhaven Hospice LLC
    • Community Based Hospice Care Agency
    • Marlborough, MA
    • NPI 1730361742

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Brookhaven Hospice of New Hampshire, LLC

    dba Brookhaven Hospice

    • Community Based Hospice Care Agency
    • Bedford, NH
    • NPI 1689981193

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Commonwealth Healthcare, LLC

    dba Legacy Hospice

    • Community Based Hospice Care Agency
    • Charlottesville, VA
    • NPI 1740430263

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Continuum Care Hospice LLC

    dba Continuum Hospice

    • Community Based Hospice Care Agency
    • Concord, CA
    • NPI 1467859900

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Continuum Care of Mass, LLC

    dba Continuum Care

    • Community Based Hospice Care Agency
    • Fall River, MA
    • NPI 1134688575

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
  • Continuum Care of Rhode Island, LLC
    • Community Based Hospice Care Agency
    • West Warwick, RI
    • NPI 1164948220

    Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ

    CMS ownership
View all 38

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 9

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1205915188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAULCONER DR STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035089",
            "telephone_number": "434-977-9711",
            "fax_number": "434-235-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BUCKINGHAM PLANTATION DR STE A",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106503",
            "telephone_number": "843-757-9388",
            "fax_number": "843-757-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "EKENSEAIR",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "SR MGR LEGAL & REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "857-331-6275"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP087",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HPC-0119",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crescent Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.