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Organization Active NPI

Hospice of Laurens County Inc

  • Community Based Hospice Care Agency
  • Clinton, SC
National Provider Identifier
1912912890
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC025 Issued in SC
Legal business name
HOSPICE OF LAURENS COUNTY INC
Practice address
1304 Springdale Dr
Clinton, SC 29325
Phone
(864) 833-6287
Fax
(864) 833-0556
NPI assigned
Jul 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Peter A Brunnick
Title
President/Ceo
Phone
(704) 375-0100

Owners & managing parties with NPI records 3

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

Corporate family (same 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.

Facilities with the same owner 2

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

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice & Palliative Care Palmetto Region- Greenville CountyCCN 421520
Ownership
Non-Profit
Certified
Aug 17, 1993
Medicare certification status
Active (Provider of Services file)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Hospice certification: CCN 421520

Medicare enrollment files
Legal name
HOSPICE OF LAURENS COUNTY INC
Doing business as
VIA HEALTH PARTNERS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 17, 1993
Last certification
Sep 24, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 28, 1987 in SC
Enrollment address
1304 Springdale Dr
Clinton, SC 29325-7226

All disclosed owners & managing parties 6

Medicare enrollment files

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

NameRoleSinceShare
Hospice & Palliative Care Charlotte Region Organization, Charlotte, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 28, 2016 100%
Peter a Brunnick Individual Corporate Director Sep 28, 2016
W-2 Managing EmployeePresident Ceo Sep 28, 2016
Julie Ann Vibbert Individual Corporate DirectorDirector of Revenue Cycle Managemen Jan 1, 2021 100%
Michael S Bolewitz Individual Corporate Director Sep 28, 2016
Bridget Ilka Hiller Individual W-2 Managing EmployeeMD; Apr 1, 2024
Todd Vincent Fontenot Individual Corporate OfficerVP Chief Financial Officer Sep 17, 2018

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060308000074 SC Part a Provider - Hospice 1052328630 Practice locations: Clinton, SC; Greenville, SC
O20190226002564 SC Part B Supplier - Clinic/Group Practice 1052328630 Receives reassigned benefits from 19 practitioners
Practice locations: Clinton, SC; Columbia, SC; Greenville, SC

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Laurens County (2 organizations share this tax ID)

Locations

1304 Springdale Dr
Clinton, SC 29325
Phone (864) 833-6287

2180 Boyce St
Ste B
Columbia, SC 29201
Phone (803) 431-2390

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X HPC025 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1304 Springdale Dr
Clinton, SC 29325

Mailing address

1304 Springdale Dr
Clinton, SC 29325-7226
Phone (864) 833-6287

Other practice location 1

1003 Grove Rd Ste E
Greenville, SC 29605-4626
Phone (864) 438-3900

Other practice location 2

2180 Boyce St Ste B
Columbia, SC 29201-2664
Phone (803) 431-2390

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
HSP014MedicaidSC

Other names 4

NPPES NPI Registry
  • VIA Health Partners Doing business as
  • VIA Health Partners - Greenville County Doing business as
  • VIA Health Partners - Laurens County Doing business as
  • VIA Health Partners - Midlands Region Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2025.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1912912890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257226",
            "telephone_number": "864-833-6287",
            "fax_number": "864-833-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-833-6287",
            "fax_number": "864-833-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Grove Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054626",
            "country_code": "US",
            "telephone_number": "864-438-3900",
            "fax_number": "864-438-3898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2180 Boyce St Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012664",
            "country_code": "US",
            "telephone_number": "803-431-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE OF LAURENS COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "BRUNNICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-375-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP014",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIA Health Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIA Health Partners - Greenville County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIA Health Partners - Laurens County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIA Health Partners - Midlands Region",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.