Ennoble Hospice SC LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ENNOBLE HOSPICE SC LLC

Practice address

1501 Main St
Columbia, SC 29201-5801

Phone

(803) 471-8635

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Kushabhadra Das

Title

Ceo

Phone

(862) 821-9010

Specialties & licenses 1

Addresses

Other names 1

• Ennoble Care Doing business as

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1851146898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015801",
            "telephone_number": "803-471-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015801",
            "telephone_number": "803-471-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "KUSHABHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-821-9010"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennoble Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Columbia, SC
• Providers in Columbia, 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 Apr 23, 2024; 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.