Organization Active NPI

Lifecare Supportive Medicine Incorporated

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Conway, SC
National Provider Identifier
1962351338
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
LIFECARE SUPPORTIVE MEDICINE INCORPORATED
Practice address
1314 3Rd Ave
Conway, SC 29526-5002
Phone
(910) 796-7900
Fax
(910) 796-7901
NPI assigned
Jan 27, 2026
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LOWER CAPE FEAR HOSPICE INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Jason Pisani
Title
VP of Finance
Phone
(910) 796-7952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

1314 3Rd Ave
Conway, SC 29526-5002

Mailing address

1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7988

National Provider Directory

National Provider Directory
Tax ID family
Lifecare Supportive Medicine Incorporated2 organizations share this tax ID, including this one
Part of
Sunrise Center for Lower

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1962351338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017335",
            "telephone_number": "910-796-7988",
            "fax_number": "910-341-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 3RD AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265002",
            "telephone_number": "910-796-7900",
            "fax_number": "910-796-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE SUPPORTIVE MEDICINE INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER CAPE FEAR HOSPICE INCORPORATED",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "PISANI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "910-796-7952"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.