Hospice of Chesterfield County, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HPC026 Issued in SC

Legal business name

HOSPICE OF CHESTERFIELD COUNTY, INC.

Practice address

140 S Page St
Chesterfield, SC 29709-1522

Phone

(843) 623-9155

Fax

(843) 623-3833

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John H Douglas

Title

Executive Director

Phone

(843) 623-9155

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689639684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297090293",
            "telephone_number": "843-623-9155",
            "fax_number": "843-623-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S PAGE ST",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297091522",
            "telephone_number": "843-623-9155",
            "fax_number": "843-623-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CHESTERFIELD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-623-9155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP015",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Haigler, MSBS, LPCI
• Chantal Lashun Harrington, MSW
• Rebecca Harvey, RN CASE MANAGER
• Bonnie B Hicks, RN
• Andrea Jean Horn, MSW
• Jina Hyde
• Susanne Ingram
• Marsha Lynn Jackson
• Timothy Johnson Sr., BACHELOR OF PSYCHOLO
• Pamela L Jones-Monroe, B.A., M.A.

• All providers in Chesterfield, SC
• 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 Aug 22, 2020; 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.