NPIMap

Organization Active NPI

Divine Hospice LLC

  • Community Based Hospice Care Agency
  • Greenville, SC
National Provider Identifier
1700329455
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIVINE HOSPICE LLC
Practice address
3441 Pelham Rd Ste 101
Greenville, SC 29615-4184
Phone
(864) 965-7660
Fax
(864) 751-2906
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Christopher Smith
Title
Ceo
Phone
(205) 949-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 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
O20170209000422 SC Part A Provider - Hospice 6406139898 Practice locations: Anderson, SC

Hospice certification: CCN 421632

Legal name
DIVINE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 6, 2017
Last certification
May 6, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 11, 2016 in SC
Enrollment address
115 Whitehall Rd
Anderson, SC 29625-2427

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity Hospice - AndersonCCN 421632
Ownership
For-Profit
Certified
Jun 6, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

115 Whitehall Rd
Anderson, SC 29625
Phone (864) 965-7660

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Sanjeev Kumar Individual Corporate DirectorAdministrator/VP,Treasurer Oct 11, 2016 75%
W-2 Managing Employee Dec 17, 2021
Ray L Shrout Individual 5% Or Greater Indirect Ownership Interest Dec 17, 2021 11%
Corporate OfficerCeo Dec 17, 2021
MBF Healthcare Partners II, LP Organization, Coral Gables, FL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 30, 2021 75.1%
Affinity Hospice Intermediate Holdings LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Marcio Cabrera Individual Corporate Director Apr 30, 2021 50%
Affinity Hospice Holdings, LLC Organization, Birmingham, AL LLC 5% Or Greater Direct Ownership Interest Dec 17, 2021 100%
5% Or Greater Indirect Ownership Interest May 1, 2021 100%
Operational/Managerial Control May 1, 2021 100%
Jorge Rico Individual Corporate Director Apr 30, 2021 50%
W-2 Managing Employee Apr 30, 2021
Leigh Nunn Individual Corporate OfficerCoo Dec 17, 2021 100%
Thomas J Sefcik Individual Corporate OfficerCfo Apr 30, 2021 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 2

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": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1700329455",
    "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": "864-965-7660",
            "fax_number": "864-751-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-949-0400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.