Active NPI
Lifecare Supportive Medicine, Inc
- Case Management Agency
- Conway, SC
National Provider Identifier
1225944424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- LOWER CAPE FEAR HOSPICE INCORPORATED
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP148 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Lifecare Memory Partners
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Wilmington, NC
- NPI 1528974722
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.