Active NPI
Hands of Mercy Hospice LLC
- Community Based Hospice Care Agency
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- INITIAL442054
- Legal business name
- HANDS OF MERCY HOSPICE LLC
- Practice address
- 3441 Pelham Rd Ste 101
Greenville, SC 29615-4184 - Phone
- (864) 482-7110
- Fax
- (864) 482-7112
- NPI assigned
- Sep 25, 2012
- Last updated
- Mar 12, 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
- Mr. Rick Cantrell
- Title
- Ceo
- Phone
- (205) 949-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | INITIAL442054 | SC | Primary |
Addresses
Primary practice location
3441 Pelham Rd Ste 101
Greenville, SC 29615-4184
Mailing address
135 Gemini Cir Ste 202
Birmingham, AL 35209-5842
Phone (205) 949-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121129000160 | SC | Part A Provider - Hospice | 0941452809 | Practice locations: Seneca, SC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649521048. Details of each certification follow.
Hospice certification: CCN 421616
- Legal name
- HANDS OF MERCY HOSPICE, LLC
- Doing business as
- AFFINITY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 17, 2013
- Last certification
- Mar 31, 2022
- Ownership / control type
- Non-Profit - Private
- Organization structure
- LLC
- Incorporated
- Jun 8, 2012 in SC
- Enrollment address
- 12019 N Station Rd
Ste C
Seneca, SC 29378
Care Compare: Hospice
Medicare Care Compare- Listed as
- Affinity Hospice
- Ownership
- Non-Profit
- Certified
- Apr 17, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
3441 Pelham Rd
Ste 101
Greenville, SC 29615
Phone (800) 575-2082
111 Carter Park Dr
Ste C
Seneca, SC 29678
Phone (864) 482-7110
12019 N Radio Station Rd
#C
Seneca, SC 29678
Ownership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Ray L Shrout | 5% Or Greater Indirect Ownership Interest | Jun 14, 2019 | 11% |
| Corporate Officer | Jun 14, 2019 | ||
| W-2 Managing Employee | Jun 14, 2019 | ||
| Rick a Cantrell | Corporate Officer | Aug 15, 2023 | 100% |
| LLR Equity Partners VI LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 43.6% |
| LLR VI LL-Ah LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 19.3% |
| LLR LP Co-Invest VI-Ah LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 9.5% |
| Affinity Hospice Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| Fosh Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 12.1% |
| Dragonfly Finance Holdco LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| LLR VI-Ah LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 43.6% |
| Affinity Hospice Holdings, LLC | 5% Or Greater Direct Ownership Interest | Dec 17, 2021 | 100% |
| Angela S Lavigne | W-2 Managing Employee | Oct 16, 2023 | 100% |
| Operational/Managerial Control | Oct 16, 2023 | 100% | |
| Audrey Bolt | Corporate Director | Aug 1, 2022 | |
| Pamela James | W-2 Managing Employee | Oct 16, 2023 | 100% |
| LLR Equity Partners International VI LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 19.3% |
| Affinity Hospice Ultimate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| LLR Equity Partners VI Co-Invest LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 9.5% |
| Franklin Park Co-Investment Fund V LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 6.2% |
| Daniel Shockley | Corporate Officer | Aug 15, 2023 | 100% |
Facilities with the same owner 11
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Greenville, SC
- NPI 1700329455
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Marietta, GA
- NPI 1235654039
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Birmingham, AL
- NPI 1962893347
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- White Hall, AR
- NPI 1932874757
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Claxton, GA
- NPI 1548501000
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
- Community Based Hospice Care Agency
- Valdosta, GA
- NPI 1972709160
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Elite Hospice
- Community Based Hospice Care Agency
- Bristol, VA
- NPI 1922571561
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba Affinity Hospice
- Community Based Hospice Care Agency
- Canton, GA
- NPI 1497061709
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
- Community Based Hospice Care Agency
- Stockbridge, GA
- NPI 1043632334
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
dba BridgeWay Hospice
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1003273095
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
- Community Based Hospice Care Agency
- Athens, GA
- NPI 1396948790
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1649521048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 GEMINI CIR STE 202",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352095842",
"telephone_number": "205-949-0400",
"fax_number": "205-949-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 PELHAM RD STE 101",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154184",
"telephone_number": "864-482-7110",
"fax_number": "864-482-7112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDS OF MERCY HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "205-949-0400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "SC",
"license": "INITIAL442054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Hand to Hand Home Health Care of Greenville
- Regan Root Hand, OTR/L
- William Robert Hand, M.D.
- Chauncy Bo Handran, M.D.
- Hands of Hope Health Care Serices LLC
- Jon R Handy, MD
- Philip B. Hangen, MPT
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Christina Leanne Hanley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.