Organization Active NPI

Hands of Mercy Hospice LLC

  • Community Based Hospice Care Agency
  • Greenville, SC
National Provider Identifier
1649521048
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
INITIAL442054 Issued in SC
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HospiceCCN 421616 · All quality measures
Ownership
Non-Profit
Certified
Apr 17, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ray L Shrout Individual 5% Or Greater Indirect Ownership InterestCeo Jun 14, 2019 11%
Corporate OfficerCeo Jun 14, 2019
W-2 Managing EmployeeCeo Jun 14, 2019
Rick a Cantrell Individual Corporate OfficerChief Executive Officer Aug 15, 2023 100%
LLR Equity Partners VI LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 43.6%
LLR VI LL-Ah LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 19.3%
LLR LP Co-Invest VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 9.5%
Affinity Hospice Intermediate Holdings LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Fosh Holdings LLC Organization, Key Largo, FL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 12.1%
Dragonfly Finance Holdco LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
LLR VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 43.6%
Affinity Hospice Holdings, LLC Organization, Birmingham, AL LLC 5% Or Greater Direct Ownership Interest Dec 17, 2021 100%
Angela S Lavigne Individual W-2 Managing EmployeeRegional Vice President Oct 16, 2023 100%
Operational/Managerial ControlRegional Vice President Oct 16, 2023 100%
Audrey Bolt Individual Corporate DirectorBranch Director Aug 1, 2022
Pamela James Individual W-2 Managing EmployeeAdministrator Oct 16, 2023 100%
LLR Equity Partners International VI LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 19.3%
Affinity Hospice Ultimate Holdings LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
LLR Equity Partners VI Co-Invest LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 9.5%
Franklin Park Co-Investment Fund V LP Organization, Bala Cynwyd, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 6.2%
Daniel Shockley Individual Corporate OfficerChief Financial 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.

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

Sources for this page

Verify at the official NPI Registry.