NPIMap

Organization Active NPI

Wiregrass Hospice of South Carolina, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Spartanburg, SC
National Provider Identifier
1861445835
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC103 Issued in SC
Legal business name
WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC
Doing business as
Gentiva
Practice address
101 N Pine St Ste 215
Spartanburg, SC 29302-1685
Phone
(864) 585-6500
Fax
(864) 585-6553
NPI assigned
May 18, 2006
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Ms. Janet Combs
Title
VP of Licensure
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HPC103 SC Primary

Addresses

Primary practice location

101 N Pine St Ste 215
Spartanburg, SC 29302-1685

Mailing address

655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876

Other practice location 1

905 E Main St
Suite 2
Spartanburg, SC 29302-2182
Phone (864) 585-6500

Other practice location 2

5250 Woodside Executive Ct
Aiken, SC 29803-3816
Phone (803) 220-3840

Other practice location 3

223 Herlong Ave S Ste 120
Rock Hill, SC 29732-1089
Phone (803) 329-0109

Other identifiers 1

IdentifierTypeStateIssuer
HSP083MedicaidSC

Other names 1

  • Gentiva Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060623000122 SC Part A Provider - Hospice 0143232736 Practice locations: Rock Hill, SC; Spartanburg, SC; Aiken, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861445835. Details of each certification follow.

Hospice certification: CCN 421571

Legal name
WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 17, 2006
Last certification
Nov 12, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
101 N Pine St
Ste 215
Spartanburg, SC 29302-1685

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Kindred HospiceCCN 421571 · All quality measures
Ownership
For-Profit
Certified
Oct 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1050922Wiregrass Hospice of South Carolina, LLC101 North Pine Street, Suite 215, Spartanburg, SC 29302Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Gentiva2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

136 Roxboro Rd
Oxford, NC 27565
Phone (919) 603-0126

101 N Pine St
Ste 215
Spartanburg, SC 29302
Phone (864) 585-6500

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Mindy Roth Individual W-2 Managing EmployeeAdministrator Dec 5, 2022
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerGen Counsel and Corporate Secretary Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP, Treasurer and Controller Dec 31, 2021
Operational/Managerial ControlHome Office Administrator Dec 31, 2021
Wiregrass Hospice Care LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2013 100%
Thomas Joseph Dolan Individual Corporate OfficerCfo Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerCeo and President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Operational/Managerial Control Jul 11, 2018
Janet L Combs Individual Corporate OfficerVP, Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Atlanta, GA Corporation 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Horizon Health Network, LLC Organization, Louisville, KY LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Oct 17, 2006 100%
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 18

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

  • Curo Health Services, LLC

    dba Heartland Hospice (Myrtle Beach)

    • Community Based Hospice Care Agency
    • Myrtle Beach, SC
    • NPI 1306545629

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Greenville)

    • Community Based Hospice Care Agency
    • Simpsonville, SC
    • NPI 1588363899

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Charleston)

    • Community Based Hospice Care Agency
    • North Charleston, SC
    • NPI 1740989060

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Fort Wayne, IN
    • NPI 1013616515

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Wichita, KS
    • NPI 1013618180

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (Des Moines)

    • Community Based Hospice Care Agency
    • Ames, IA
    • NPI 1043911753

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Virginia Beach, VA
    • NPI 1164121489

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Davenport, IA
    • NPI 1164123873

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Beltsville, MD
    • NPI 1184323693

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Lincoln, NE
    • NPI 1255030763

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland Hospice (St. Louis)

    • Community Based Hospice Care Agency
    • Saint Louis, MO
    • NPI 1437858941

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Curo Health Services, LLC

    dba Heartland

    • Community Based Hospice Care Agency
    • Fairfax, VA
    • NPI 1447959762

    5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 18

Facilities with the same owner 196

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

View all 196

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1861445835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179601",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PINE ST STE 215",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021685",
            "telephone_number": "864-585-6500",
            "fax_number": "864-585-6553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 E Main St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293022182",
            "country_code": "US",
            "telephone_number": "864-585-6500",
            "fax_number": "864-585-6553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5250 Woodside Executive Ct",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298033816",
            "country_code": "US",
            "telephone_number": "803-220-3840",
            "fax_number": "803-641-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Herlong Ave S Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321089",
            "country_code": "US",
            "telephone_number": "803-329-0109",
            "fax_number": "803-329-0171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIREGRASS HOSPICE OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "VP OF LICENSURE",
        "authorized_official_telephone_number": "704-664-2876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP083",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.