Organization Active NPI

Hospice of Scotland County, Inc

  • Community Based Hospice Care Agency
  • Laurinburg, NC
National Provider Identifier
1245214980
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC0401 Issued in NC
Legal business name
HOSPICE OF SCOTLAND COUNTY, INC
Practice address
610 Lauchwood Dr
Laurinburg, NC 28352-5509
Phone
(910) 276-7176
Fax
(910) 277-1941
NPI assigned
Dec 6, 2005
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Mrs. Jane Newkirk Murrray, RN,BSN,MS
Title
Executive Director
Phone
(910) 276-7176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC0401 NC Primary
Community Based Hospice Care Agency 251G00000X HPC069 SC

Addresses

Primary practice location

610 Lauchwood Dr
Laurinburg, NC 28352-5509

Mailing address

PO Box 1033
Laurinburg, NC 28353-1033
Phone (910) 276-7176

Other identifiers 3

IdentifierTypeStateIssuer
HSP046OtherSCMEDICAID
3401555MedicaidNC
0020AOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090605000184 NC Part A Provider - Hospice 1052479862 Practice locations: Laurinburg, NC
O20121024000016 NC Part B Supplier - Clinic/Group Practice 1052479862 Receives reassigned benefits from 6 practitioners
Practice locations: Laurinburg, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245214980. Details of each certification follow.

Hospice certification: CCN 341555

Legal name
HOSPICE OF SCOTLAND COUNTY INC
Doing business as
SCOTLAND REGIONAL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 3, 1991
Last certification
Apr 15, 2005
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Jun 7, 1985 in NC
Enrollment address
610 Lauchwood Dr
Laurinburg, NC 28352-5509

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Scotland CountyCCN 341555 · All quality measures
Ownership
Non-Profit
Certified
Dec 3, 1991
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
34D0883500Hospice of Scotland County610B Lauchwood Dr, Laurinburg, NC 28352Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Scotland County Inc2 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

610 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-7176

610B Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-7176

Ownership & related parties

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.

NameRoleSinceShare
Aimee Johnson Individual W-2 Managing Employee Mar 23, 2009 50%
Kimberly Hammonds Individual W-2 Managing EmployeeExecutive Director Sep 19, 2019
Operational/Managerial ControlExecutive Director Sep 19, 2019 50%

Practitioners & affiliated clinicians

Practitioners 6

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 1

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1245214980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283531033",
            "telephone_number": "910-276-7176",
            "fax_number": "910-277-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525509",
            "telephone_number": "910-276-7176",
            "fax_number": "910-277-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SCOTLAND COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "MURRRAY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "NEWKIRK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-276-7176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN,MS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0401",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "HSP046",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401555",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0020A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.