Organization Active NPI

At Ease Home Care, LLC

  • In Home Supportive Care Agency
  • Sumter, SC
National Provider Identifier
1003641507
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AT EASE HOME CARE, LLC
Doing business as
At Ease Home Care, LLC
Practice address
634 Bultman Dr Ste B
Sumter, SC 29150-2597
Phone
(803) 757-1201
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Samantha MitchellNPI 1063795318
Title
Administrator
Phone
(803) 757-1201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

634 Bultman Dr Ste B
Sumter, SC 29150-2597

Mailing address

634 Bultman Dr Ste B
Sumter, SC 29150-2597
Phone (803) 757-1201

Other names 1

  • At Ease Home Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

634 Bultman Dr
Ste B
Sumter, SC 29150
Phone (803) 757-1201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1003641507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 BULTMAN DR STE B",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502597",
            "telephone_number": "803-757-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 BULTMAN DR STE B",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502597",
            "telephone_number": "803-757-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT EASE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-757-1201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Ease Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.