Provider Demographics
NPI:1407855794
Name:HELPING HANDS HOSPICE, INC.
Entity Type:Organization
Organization Name:HELPING HANDS HOSPICE, INC.
Other - Org Name:HOSPICE OF MARLBORO COUNTY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-479-5979
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-0474
Mailing Address - Country:US
Mailing Address - Phone:843-479-5979
Mailing Address - Fax:843-479-3711
Practice Address - Street 1:309 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-3109
Practice Address - Country:US
Practice Address - Phone:843-479-5979
Practice Address - Fax:843-479-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHPC-038251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCHPC-038OtherSC-DHEC LICENSE NUMBER
SCHSP002Medicaid
SCHPC-038OtherSC-DHEC LICENSE NUMBER