Active NPI
Tri-County Choice Hospice and Palliative Care, LLC
- Community Based Hospice Care Agency
- Clemson, SC
National Provider Identifier
1487001616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 212431
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Registered Nurse
- Clemson, SC
- NPI 1588011712
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.