Ahava Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AHAVA HOSPICE, INC.

Practice address

7505 Irmo Dr
Columbia, SC 29212-8637

Phone

(803) 794-3269

Fax

(803) 791-1634

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Sloan Jr., CFO

Title

Chief Financial Officer

Phone

(803) 794-3269

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1306165220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 IRMO DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29212",
            "telephone_number": "803-794-3269",
            "fax_number": "803-791-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 IRMO DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128637",
            "telephone_number": "803-794-3269",
            "fax_number": "803-791-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "803-794-3269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC LICENSE NUMBER",
            "identifier": "HPC-0151",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna-Mara Aguilar, RN
• Francisco Aguirre, III III, MD
• Aboagye Agyenim - Boateng, MD
• Ahava Care Management, LLC
• Ahava Hospice of Columbia, LLC
• Ahava in-Home Care, LLC
• Ahc Moncrief-Jackson
• Ahc Moncrief-Jackson
• Ahc Sterling House of Harbison, LLC
• William G Ahders, OD

• All providers in Columbia, SC
• Community Based Hospice Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.