Provider Demographics
NPI:1376717108
Name:EMBRACE HOSPICE OF SOUTH CAROLINA, LLC
Entity Type:Organization
Organization Name:EMBRACE HOSPICE OF SOUTH CAROLINA, LLC
Other - Org Name:EMBRACE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SINEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-491-1442
Mailing Address - Street 1:1113 44TH AVE N STE 300
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5782
Mailing Address - Country:US
Mailing Address - Phone:843-491-5746
Mailing Address - Fax:843-808-9109
Practice Address - Street 1:696 MEDICAL PARK DR STE B
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4782
Practice Address - Country:US
Practice Address - Phone:843-332-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251G00000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient