Provider Demographics
NPI:1508179573
Name:HOSPICE CARE OF THE CAROLINAS, INC.
Entity Type:Organization
Organization Name:HOSPICE CARE OF THE CAROLINAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROCKHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-242-4660
Mailing Address - Street 1:PO BOX 37105
Mailing Address - Street 2:2238 EBENEZER DRIVE
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-0535
Mailing Address - Country:US
Mailing Address - Phone:803-242-4660
Mailing Address - Fax:803-328-2812
Practice Address - Street 1:2238 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-9288
Practice Address - Country:US
Practice Address - Phone:803-242-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based