Ahava Hospice of Columbia, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AHAVA HOSPICE OF COLUMBIA, LLC

Practice address

7505 Irmo Dr
Columbia, SC 29212-8637

Phone

(803) 794-3269

Fax

(803) 791-1634

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Glenn Gray

Title

Corporate Compliance Officer

Phone

(803) 794-3269

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1588099543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 IRMO DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128637",
            "telephone_number": "803-794-3269",
            "fax_number": "803-791-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 IRMO DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128637",
            "telephone_number": "803-794-3269",
            "fax_number": "803-791-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA HOSPICE OF COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "803-794-3269"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Anne Aguiar, CRNA
• Jenna-Mara Aguilar, RN
• Francisco Aguirre, III III, MD
• Aboagye Agyenim - Boateng, MD
• Ahava Care Management, LLC
• Ahava Hospice, Inc.
• Ahava in-Home Care, LLC
• Ahc Moncrief-Jackson (Jackson TMC Phcy)
• Ahc Moncrief-Jackson (DoD FT JACKSON ePhcy)
• Ahc Sterling House of Harbison, LLC (Brookdale Harbison)

• Community Based Hospice Care Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community Based Hospice Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.