Organization Active NPI

Tri-County Choice Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Clemson, SC
National Provider Identifier
1487001616
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
212431 Issued in SC
Legal business name
TRI-COUNTY CHOICE HOSPICE AND PALLIATIVE CARE, LLC
Practice address
115 Knight Cir
Clemson, SC 29631-2113
Phone
(864) 653-5468
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Constancio K Nakuma, PHD, MBA
Title
Co-Owner/Manager
Phone
(864) 653-5468

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 212431 SC Primary
Nursing Care Agency 251J00000X 212431 SC

Addresses

Primary practice location

115 Knight Cir
Clemson, SC 29631-2113

Mailing address

115 Knight Cir
Clemson, SC 29631-2113
Phone (864) 653-5468

Other names 1

  • Tri-County Choice Hospice, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1487001616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KNIGHT CIR",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312113",
            "telephone_number": "864-653-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KNIGHT CIR",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312113",
            "telephone_number": "864-653-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY CHOICE HOSPICE AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "NAKUMA",
        "authorized_official_first_name": "CONSTANCIO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "864-653-5468",
        "authorized_official_credential": "PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "212431",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "212431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Choice Hospice, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.