Organization Active NPI

Personal Care LLC

  • In Home Supportive Care Agency
  • Goose Creek, SC
National Provider Identifier
1013389287
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONAL CARE LLC
Practice address
132 Red Cypress Dr
Goose Creek, SC 29445-4013
Phone
(843) 696-7623
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Matthew Anthony Hunt
Title
Board Member
Phone
(843) 696-7623

Specialties & licenses 1

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

Addresses

Primary practice location

132 Red Cypress Dr
Goose Creek, SC 29445-4013

Mailing address

132 Red Cypress Dr
Goose Creek, SC 29445-4013
Phone (843) 696-7623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1013389287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RED CYPRESS DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294454013",
            "telephone_number": "843-696-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 RED CYPRESS DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294454013",
            "telephone_number": "843-696-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "843-696-7623"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.