Active NPI
Hospice of Scotland County, Inc
- Community Based Hospice Care Agency
- Laurinburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HC0401
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP046 | Other | SC | MEDICAID |
| 3401555 | Medicaid | NC | |
| 0020A | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
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
- Corporation
- 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).
-
- Community Based Hospice Care Agency
- Bennettsville, SC
- NPI 1518117308
1052479862
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice of Scotland County
- Ownership
- Non-Profit
- Certified
- Dec 3, 1991
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0883500 | Hospice of Scotland County | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Hospice of Scotland County Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Bennettsville, SC
- NPI 1518117308
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Aimee Johnson | W-2 Managing Employee | Mar 23, 2009 | 50% |
| Kimberly Hammonds | W-2 Managing Employee | Sep 19, 2019 | |
| Operational/Managerial Control | 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.
-
- Family Medicine Physician
- Laurinburg, NC
- NPI 1538245394
-
- Family Medicine Physician
- Laurinburg, NC
- NPI 1053745760
-
- Internal Medicine Physician
- Laurinburg, NC
- NPI 1780685842
-
- Family Nurse Practitioner
- Lumberton, NC
- NPI 1467179234
-
- Family Nurse Practitioner
- Laurinburg, NC
- NPI 1538648316
-
- Surgery Physician
- Laurinburg, NC
- NPI 1790953644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.