NPIMap

Organization Active NPI

Hospice & Palliative Care Charlotte Region

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Mill, SC
National Provider Identifier
1417570771
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Practice address
1061 Red Ventures Dr Ste 130
Fort Mill, SC 29707-2516
Phone
(803) 548-3708
Fax
(803) 431-2249
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Peter A Brunnick
Title
President/ Ceo
Phone
(704) 335-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

1061 Red Ventures Dr Ste 130
Fort Mill, SC 29707-2516

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 375-0100

Other identifiers 1

IdentifierTypeStateIssuer
PG2392MedicaidSC

Other names 2

  • VIA Health Partners Doing business as
  • Hospice & Palliative Care Palmetto Region Palliative Care Consultants Other name

National Provider Directory

National Provider Directory
Tax ID family
Hospice Palliative Care CH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1057 Red Ventures Dr
Ste 150
Fort Mill, SC 29707
Phone (803) 548-3708

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDHDD

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1417570771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 RED VENTURES DR STE 130",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297072516",
            "telephone_number": "803-548-3708",
            "fax_number": "803-431-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE & PALLIATIVE CARE CHARLOTTE REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BRUNNICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "704-335-3501"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2392",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIA Health Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice & Palliative Care Palmetto Region Palliative Care Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.