Ahava Hospice of Florence, LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

HPC 0168 Issued in SC

Legal business name

AHAVA HOSPICE OF FLORENCE, LLC

Practice address

2405 2ND Loop Rd
Suite C
Florence, SC 29501-1602

Phone

(843) 468-9700

Fax

(803) 791-1634

NPI assigned

Mar 7, 2013

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Gray

Title

Chief Compliance Officer

Phone

(803) 794-3269

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1760723332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290631014",
            "telephone_number": "843-468-9700",
            "fax_number": "803-791-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 2ND LOOP RD",
            "address_2": "SUITE C",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295011602",
            "telephone_number": "843-468-9700",
            "fax_number": "803-791-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA HOSPICE OF FLORENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "803-794-3269"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "SC",
            "license": "HPC 0168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Pharmacy and Wellness LLC (Advantage Pharmacy & Wellness, LLC)
• Olayinka Afolabi, M.D.
• Agape ABA Consulting, LLC
• Agape Counseling and Healing Center
• Roberto Aguilera, M.D.
• Nadeije Rita Ahearn, MS, LPC
• Altaf Ahmed, MD
• Timothy Aiken
• Bamidele A Ajibola, MD
• Reem Akel, MD

• Inpatient Hospice in Florence, SC
• Providers in Florence, SC by specialty
• Inpatient Hospice in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.