Organization Active NPI

Life Savior Palliative Care LLC

  • Gerontology Nurse Practitioner
  • Florence, SC
National Provider Identifier
1558178996
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
LIFE SAVIOR PALLIATIVE CARE LLC
Practice address
1782 Lake Wateree Dr
Florence, SC 29501-8178
Phone
(843) 992-2682
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Selina Faye White, DNP, APRN, AGNP-CNPI 1699333427
Title
Owner/Nurse Practitioner
Phone
(843) 992-2682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

1782 Lake Wateree Dr
Florence, SC 29501-8178

Mailing address

1782 Lake Wateree Dr
Florence, SC 29501-8178
Phone (843) 992-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522000716 SC Part B Supplier - Clinic/Group Practice 5597284661 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

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": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1558178996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 LAKE WATEREE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018178",
            "telephone_number": "843-992-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 LAKE WATEREE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018178",
            "telephone_number": "843-992-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SAVIOR PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SELINA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "843-992-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, AGNP-C"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.