Family Hospice of Greenville, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAMILY HOSPICE OF GREENVILLE, LLC

Doing business as

Family Hospice

Practice address

1312 Augusta St
Greenville, SC 29605-4026

Phone

(800) 410-4663

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By 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

Marcus L Kimsey

Title

Manager

Phone

(800) 410-4663

Specialties & licenses 1

Addresses

Other names 1

• Family Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801572235. Details of each certification follow.

• CCN 421586 Hospice · Active · Details

Hospice certification: CCN 421586

Legal name

FAMILY HOSPICE OF GREENVILLE, LLC

Doing business as

FAMILY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 13, 2008

Last certification

May 8, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLC

Incorporated

Mar 15, 2023 in SC

Enrollment address

1312 Augusta St
Greenville, SC 29605-4026

Listed as

Family Hospice of Greenville LLCCCN 421586 · All quality measures

Ownership

For-Profit

Certified

Oct 13, 2008

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Troy Mac Phillips, DO

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1194994210

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 3

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

• Angel Heart Hospice, LLC

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Marietta, GA
  • NPI 1700402443

  Family Hospice LLC, The 2021 Mark Kimsey Family Trust Dated June 30, 2021, The Draughon Family Trust Dated January 22, 2021

  CMS ownership
• Bright Hospice Care LLC

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Athens, GA
  • NPI 1619458973

  Family Hospice LLC, The 2021 Mark Kimsey Family Trust Dated June 30, 2021, The Draughon Family Trust Dated January 22, 2021

  CMS ownership
• Family Hospice Macon, LLC

  dba Family Hospice

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1619667300

  Family Hospice LLC, The 2021 Mark Kimsey Family Trust Dated June 30, 2021, The Draughon Family Trust Dated January 22, 2021

  CMS ownership

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Bernard Augustus Corbett III, MD

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1205889409

  Hospice

  Care Compare affiliation
• Jerome Lawrence Fay, MD

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1659908507

  Hospice

  Care Compare affiliation
• Lisa Marie Forgione

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1881645562

  Hospice

  Care Compare affiliation
• Kurtis Jon Melin, MD

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1467749929

  Hospice

  Care Compare affiliation
• Brandon Haubner

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1336526235

  Hospice

  Care Compare affiliation
• Troy Mac Phillips, DO

  • Family Medicine Physician
  • Fort Mill, SC
  • NPI 1194994210

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1801572235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054026",
            "telephone_number": "800-410-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOSPICE OF GREENVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "KIMSEY",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-410-4663"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Dental Health of Furman LLC
• Family Dental Health of Greenridge, LLC
• Family Dental Health of Halton Road, LLC
• Family Dental Health of Pelham LLC
• Family Dental Health of Villa Road, LLC
• Suzanne Reim Fanning, D.O.
• Farbac Medical Group
• Faris Dental, PA
• Lisa M Faris, D.M.D. M.S.
• William Farkas

• Community Based Hospice Care Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• 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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.