Portsbridge South Carolina, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HPC077 Issued in SC

Legal business name

PORTSBRIDGE SOUTH CAROLINA, INC

Practice address

109 Hospital Dr W
West Columbia, SC 29169-3405

Phone

(803) 939-2788

Fax

(803) 939-4640

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Anita Hossfeld, LMSW

Title

President

Phone

(678) 284-5856

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portsbridge Hospice Doing business as

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891756458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PHOENIX BLVD",
            "address_2": "SUITE 128",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495593",
            "telephone_number": "678-284-5850",
            "fax_number": "770-909-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOSPITAL DR W",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693405",
            "telephone_number": "803-939-2788",
            "fax_number": "803-939-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSBRIDGE SOUTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSSFELD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-284-5856",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portsbridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyrstin Pontes
• Edna Pontoon
• Cecilia E Porcher, FNP
• Isabelle Amorette Porter, OTR/L
• Joann Porto
• Donna Poston, FNP-BC
• Sherry R Powell, DMD
• Brent M Powers, MD
• Melissa Elaina Praylow
• Tiona Guess Praylow, MD

• Community Based Hospice Care Agency in West Columbia, SC
• Providers in West 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 Aug 22, 2020; 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.