Provider Demographics
NPI:1831160167
Name:HOSPICE CARE OF THE LOWCOUNTRY, INC.
Entity type:Organization
Organization Name:HOSPICE CARE OF THE LOWCOUNTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DISMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-706-2296
Mailing Address - Street 1:PO BOX 3827
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-3827
Mailing Address - Country:US
Mailing Address - Phone:843-706-2296
Mailing Address - Fax:843-706-4095
Practice Address - Street 1:7 PLANTATION PARK DR
Practice Address - Street 2:UNIT 4
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6035
Practice Address - Country:US
Practice Address - Phone:843-706-2296
Practice Address - Fax:843-706-4095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHHA-117251E00000X
SCHPC-028251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCHSP023Medicaid
SC470745Medicaid
SCEX0383Medicaid
SCHSP023Medicaid
SC=========01OtherCOMMERCIAL/PRIVATE INS HH