Provider Demographics
NPI:1578388989
Name:HEARTSONG HOSPICE OF SC LLC
Entity type:Organization
Organization Name:HEARTSONG HOSPICE OF SC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROYER
Authorized Official - Suffix:
Authorized Official - Credentials:CHA
Authorized Official - Phone:803-394-8126
Mailing Address - Street 1:7909 PARKLANE RD STE 310
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5666
Mailing Address - Country:US
Mailing Address - Phone:803-394-8126
Mailing Address - Fax:
Practice Address - Street 1:7909 PARKLANE RD STE 310
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5666
Practice Address - Country:US
Practice Address - Phone:803-394-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based