Mobile Medical Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HPC-104 Issued in SC

Legal business name

MOBILE MEDICAL CARE, INC.

Doing business as

Shepherd Care Hospice, LLC

Practice address

210 South Nichols Street
Nichols, SC 29581-0392

Phone

(843) 526-1186

Fax

(843) 526-1389

NPI assigned

Feb 12, 2007

Last updated

Feb 25, 2011By 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

Mr. Raymond G. Tiller, CPA

Title

Cfo, Vice President

Phone

(843) 526-1186

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Shepherd Care Hospice, LLC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGJADD
• FHIR API: https://fhir4.healow.com/fhir/r4/FFEBDD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Marion Bremner, FNP

  • Family Nurse Practitioner
  • Conway, SC
  • NPI 1699722884
  NPD (past)
• Kenneth Peter Orbeck, D.O.

  • Adult Medicine Physician
  • Myrtle Beach, SC
  • NPI 1548219058
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1902947872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 392",
            "city": "NICHOLS",
            "state": "SC",
            "postal_code": "295810392",
            "telephone_number": "843-526-1186",
            "fax_number": "843-526-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUTH NICHOLS STREET",
            "city": "NICHOLS",
            "state": "SC",
            "postal_code": "295810392",
            "telephone_number": "843-526-1186",
            "fax_number": "843-526-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CFO, VICE PRESIDENT",
        "authorized_official_telephone_number": "843-526-1186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC104",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP082",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902947872",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd Care Hospice, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha Graham
• Harley Home Care
• Pamela Ann Hills, TEACHING
• Valerie A Hodges, LSW
• Mobile Medical Care Inc
• Averitte Burney Pace Jr., PHARMACY BS
• Palmetto Moon Counseling and Consulting Services
• Serene Soul Therapy, LLC
• Ernestine Strickland

• Community Based Hospice Care Agency in Nichols, SC
• Providers in Nichols, 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 Feb 25, 2011; 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.