Organization Active NPI

Riverview Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Rock Hill, SC
National Provider Identifier
1285099309
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC-0185 Issued in SC
Legal business name
RIVERVIEW HOSPICE AND PALLIATIVE CARE LLC
Practice address
2450 India Hook Rd Ste B
Rock Hill, SC 29732-3271
Phone
(803) 326-3384
Fax
(803) 329-1118
NPI assigned
Dec 16, 2015
Organization subpart
Yes
Parent organization
OMNIMED LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Robert Denton Lesslie
Title
Medical Director
Phone
(803) 329-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HPC-0185 SC Primary

Addresses

Primary practice location

2450 India Hook Rd Ste B
Rock Hill, SC 29732-3271

Mailing address

2450 India Hook Rd Ste B
Rock Hill, SC 29732-3271
Phone (803) 326-3384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160225002719 SC Part A Provider - Hospice 7214232420 Practice locations: Rock Hill, SC

Hospice certification: CCN 421630

Legal name
RIVERVIEW HOSPICE AND PALLIATIVE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 16, 2016
Last certification
Jul 28, 2022
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
2450 India Hook Rd
Rock Hill, SC 29732-3270

Care Compare: Hospice

Medicare Care Compare
Listed as
Riverview Hospice and Palliative Care,LLCCCN 421630
Ownership
For-Profit
Certified
Aug 16, 2016
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
42D2107316Riverview Hospice & Palliative Care, LLC2450 India Hook Road, Rock Hill, SC 29732Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory
Part of
Arrowood Medical Center

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jeff Lesslie Individual 5% Or Greater Direct Ownership InterestOwner Apr 7, 2021 100%
Latisha Oxendine Giles Individual W-2 Managing EmployeeAd; Apr 1, 2023 100%
Jason Tyler Given Individual W-2 Managing EmployeeMD; Apr 1, 2016 100%

Owners & managing parties with NPI records 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1285099309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 INDIA HOOK RD STE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323271",
            "telephone_number": "803-326-3384",
            "fax_number": "803-329-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 INDIA HOOK RD STE B",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323271",
            "telephone_number": "803-326-3384",
            "fax_number": "803-329-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNIMED LLC",
        "enumeration_date": "2015-12-16",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "LESSLIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-329-3103"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-0185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.