Active NPI
Friends of Caroline Hospice of Beaufort, Inc
Doing business as Friends of Caroline
- Community Based Hospice Care Agency
- Ridgeland, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HPC-0057
- Legal business name
- FRIENDS OF CAROLINE HOSPICE OF BEAUFORT, INC
- Doing business as
- Friends of Caroline
- Practice address
- 329 Friends LN
Ridgeland, SC 29936-5175 - Phone
- (843) 525-6257
- Fax
- (843) 525-9418
- NPI assigned
- Apr 1, 2013
- Last updated
- Dec 10, 2024
- 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
- Lindsay Ryan Roberg
- Title
- President/Ceo
- Phone
- (843) 525-6257
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HPC-0057 | SC | Primary |
Addresses
Primary practice location
329 Friends LN
Ridgeland, SC 29936-5175
Mailing address
329 Friends LN
Ridgeland, SC 29936-5175
Phone (843) 525-6257
Other names 1
- Friends of Caroline
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1518200302. Details of each certification follow.
Hospice certification: CCN 421620
- Legal name
- FRIENDS OF CAROLINE HOSPICE OF BEAUFORT INC
- Doing business as
- FRIENDS OF CAROLINE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 24, 2013
- Last certification
- May 6, 2022
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Jan 28, 1980 in SC
- Enrollment address
- 329 Friends LN
Ridgeland, SC 29936-5175
Care Compare: Hospice
Medicare Care Compare- Listed as
- Friends of Caroline Hospice of Beaufort, Inc
- Ownership
- Non-Profit
- Certified
- Oct 24, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Friends of Caroline Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ridgeland, SC
- NPI 1679425789
Locations
1110 13th St
Port Royal, SC 29935
Phone (843) 525-6257
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lindsay Roberg | Corporate Director | Jan 1, 2015 | 95% |
| W-2 Managing Employee | Jan 1, 2015 | 100% | |
| Friends of Caroline Hospice of Beaufort Inc | 5% Or Greater Direct Ownership Interest | Jun 21, 1984 | 100% |
| Jeff Poling | Contracted Managing Employee | Apr 6, 2022 | 5% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Adult Health Nurse Practitioner
- Ridgeland, SC
- NPI 1093986473
Affiliated clinicians 2
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": "1364774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1518200302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 FRIENDS LN",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299365175",
"telephone_number": "843-525-6257",
"fax_number": "843-525-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 FRIENDS LN",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299365175",
"telephone_number": "843-525-6257",
"fax_number": "843-525-9418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDS OF CAROLINE HOSPICE OF BEAUFORT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-01",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "ROBERG",
"authorized_official_first_name": "LINDSAY",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "843-525-6257"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "SC",
"license": "HPC-0057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Friends of Caroline",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.