Provider Demographics
NPI:1285099309
Name:RIVERVIEW HOSPICE AND PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:RIVERVIEW HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DENTON
Authorized Official - Last Name:LESSLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-329-3103
Mailing Address - Street 1:2450 INDIA HOOK RD STE B
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3271
Mailing Address - Country:US
Mailing Address - Phone:803-326-3384
Mailing Address - Fax:803-329-1118
Practice Address - Street 1:2450 INDIA HOOK RD STE B
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3271
Practice Address - Country:US
Practice Address - Phone:803-326-3384
Practice Address - Fax:803-329-1118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMNIMED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-16
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHPC-0185251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based