CCN: 421605 NPI: 1891005104 Organization

PROVIDENCE HOSPICE LLC

500 LAKESHORE PKWY
ROCK HILL, SC 297304273

Contact Information

Phone 8038186900
Fax 8038186993
Enumeration Date 2010-10-20
Last Updated 2026-02-13

Taxonomies

Code: 251G00000X (Primary) License State: SC License: PENDING

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 35

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 35

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 35

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 35

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 35

censusDivision 3

cbsaActualGeographicLocation 24860

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42

providerType 35

specialPaymentIndicator

carrierCode 11202

localityCode 01