Organization Active NPI

Lifecare Supportive Medicine, Inc

  • Case Management Agency
  • Conway, SC
National Provider Identifier
1225944424
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFECARE SUPPORTIVE MEDICINE, INC
Practice address
1314 3Rd Ave
Conway, SC 29526-5002
Phone
(910) 796-7900
Fax
(910) 341-1908
NPI assigned
Aug 19, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LOWER CAPE FEAR HOSPICE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Jason Pisani
Title
VP Finance
Phone
(910) 796-7952

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU

Addresses

Primary practice location

1314 3Rd Ave
Conway, SC 29526-5002

Mailing address

1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7900

Other identifiers 1

IdentifierTypeStateIssuer
HSP148MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Memory Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1314 3rd Ave
Conway, SC 29526
Phone (843) 848-6480

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1225944424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017335",
            "telephone_number": "910-796-7900",
            "fax_number": "910-341-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 3RD AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265002",
            "telephone_number": "910-796-7900",
            "fax_number": "910-341-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SUPPORTIVE MEDICINE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER CAPE FEAR HOSPICE INCORPORATED",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "PISANI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "910-796-7952"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP148",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.