Active NPI
Interim Health Care Hospice LLC
- Community Based Hospice Care Agency
- Greenville, SC
National Provider Identifier
1942250642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HPC0213
- Legal business name
- INTERIM HEALTH CARE HOSPICE LLC
- Practice address
- 16 Hyland Rd
Greenville, SC 29615-5756 - Phone
- (864) 627-1200
- Fax
- (864) 627-7102
- NPI assigned
- May 11, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- INTERIM HEALTHCARE OF GREENVILLE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond Reilly Schroeder
- Title
- President
- Phone
- (864) 627-1200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HPC-045 | SC | |
| Community Based Hospice Care Agency | 251G00000X | HPC0213 | SC | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | SC |
Addresses
Primary practice location
16 Hyland Rd
Greenville, SC 29615-5756
Mailing address
16 Hyland Rd
Greenville, SC 29615-5756
Phone (864) 627-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP033 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
101 S John St
Ste M
Blacksburg, SC 29702
Phone (864) 839-1310
775 Spartan Blvd
Ste 101
Spartanburg, SC 29301
Phone (864) 587-5115
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2018 | Change of Ownership | Interim Healthcare of the Upstate |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Interim Healthcare of the Upstate
- Community Based Hospice Care Agency
- Greenville, SC
- NPI 1538638994
Sold to, 2018-01-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1942250642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HYLAND RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155756",
"telephone_number": "864-627-1200",
"fax_number": "864-627-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HYLAND RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155756",
"telephone_number": "864-627-1200",
"fax_number": "864-627-7102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERIM HEALTH CARE HOSPICE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTERIM HEALTHCARE OF GREENVILLE, INC.",
"enumeration_date": "2006-05-11",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SCHROEDER",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "REILLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-627-1200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "SC",
"license": "HPC-045",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "SC",
"license": "HPC0213",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP033",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Inspirium Ihc Upstate, LLC (Interim Healthcare of the Upstate)
- Institute of Integrated Humanity
- Instride Foot and Ankle Specialists, PLLC
- Integrated Physical Therapy LLC
- Integrative Wholistic Diagnotics
- Interim Healthcare of Greenville, Inc
- Interim Healthcare of Greenville, Inc
- Interim Healthcare of Greenville, Inc
- Interim Healthcare of Greenville, Inc (Interim HomeStyle Services)
- Interim Healthcare of Greenville, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.