Organization Active NPI

Pathway Hospice, LLC

  • Community Based Hospice Care Agency
  • Greenville, SC
National Provider Identifier
1669751616
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC-0147 Issued in SC
Legal business name
PATHWAY HOSPICE, LLC
Practice address
355 Woodruff Rd Ste 201
Greenville, SC 29607-3494
Phone
(864) 312-6825
Fax
(864) 312-6812
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Amanda Fowler
Title
Ceo
Phone
(864) 312-6825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HPC-0147 SC Primary

Addresses

Primary practice location

355 Woodruff Rd Ste 201
Greenville, SC 29607-3494

Mailing address

355 Woodruff Rd Ste 201
Ste 201
Greenville, SC 29607-3494
Phone (864) 312-6825

Other identifiers 3

IdentifierTypeStateIssuer
HSP133MedicaidSC
HPC0147OtherSCSTATE LICENSING FOR HOSPICE IS DEPARTMENT OF HEALTH & ENVIROMENTAL CONTROL
421611OtherSCHOSPICE AND PALLIATIVE CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110928000807 SC Part A Provider - Hospice 0648441378 Practice locations: Cayce, SC; Greenville, SC
O20210504000130 SC Part B Supplier - Clinic/Group Practice 0648441378 Receives reassigned benefits from 3 practitioners
Practice locations: Greenville, SC

Hospice certification: CCN 421611

Legal name
PATHWAY HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 8, 2012
Last certification
Feb 24, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Apr 18, 2011 in SC
Enrollment address
355 Woodruff Rd
Ste 201
Greenville, SC 29607-3494

Care Compare: Hospice

Medicare Care Compare
Listed as
Pathway Hospice LLCCCN 421611
Ownership
For-Profit
Certified
Jun 8, 2012
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2030333Pathway Hospice, LLC355 Woodruff Rd Suite 201,, Greenville, SC 29607Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Locations

1833 Airport Blvd
Ste A
Cayce, SC 29033
Phone (803) 391-3146

355 Woodruff Rd
Ste 201
Greenville, SC 29607
Phone (864) 312-6825

661 Rutherford Rd
Ste 101
Greenville, SC 29609
Phone (864) 679-7272

511 W Butler Rd
Ste B
Greenville, SC 29607
Phone (864) 252-9055

3409 Salterbeck St
Ste 203
Mt Pleasant, SC 29466

3231 Sunset Blvd
Ste D
West Columbia, SC 29169
Phone (803) 391-3146

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffery Kinard Individual 5% Or Greater Direct Ownership Interest Nov 21, 2017 20%
5% Or Greater Indirect Ownership Interest Nov 21, 2017 80%
Operational/Managerial ControlManaging Member Nov 21, 2017 100%
Coastal Health Management, Inc. Organization, Pawleys Island, SC Corporation, For-profit 5% Or Greater Direct Ownership Interest Nov 21, 2017 80%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1669751616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WOODRUFF RD STE 201",
            "address_2": "STE 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073494",
            "telephone_number": "864-312-6825",
            "fax_number": "864-312-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WOODRUFF RD STE 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073494",
            "telephone_number": "864-312-6825",
            "fax_number": "864-312-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-312-6825"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-0147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP133",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING FOR HOSPICE IS DEPARTMENT OF HEALTH & ENVIROMENTAL CONTROL",
            "identifier": "HPC0147",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE AND PALLIATIVE CARE",
            "identifier": "421611",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.