The Master'S Home Health Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

253Z00000X Issued in SC

Legal business name

THE MASTER'S HOME HEALTH CARE AGENCY

Practice address

2204 Ousleydale Rd
Hartsville, SC 29550-8682

Phone

(843) 861-1902

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Lousie Ford, BA

Title

Agency Director

Phone

(843) 861-1902

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1013154467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 OUSLEYDALE RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295508682",
            "telephone_number": "843-861-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 OUSLEYDALE RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295508682",
            "telephone_number": "843-861-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASTER'S HOME HEALTH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "LOUSIE",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "843-861-1902",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Hartsville, SC
• Providers in Hartsville, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.