Organization Active NPI

Charity Home Care Service LLC

  • Home Health Agency
  • St Matthews, SC
National Provider Identifier
1013940329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in SC
Legal business name
CHARITY HOME CARE SERVICE LLC
Practice address
804 F R Huff Dr
St Matthews, SC 29135-1473
Phone
(803) 874-2188
Fax
(803) 874-2190
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pearl Leen Billingslea
Title
Ceo
Phone
(803) 874-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X SC Primary

Addresses

Primary practice location

804 F R Huff Dr
St Matthews, SC 29135-1473

Mailing address

804 F R Huff Dr
St Matthews, SC 29135-1473
Phone (803) 874-2188

Other identifiers 1

IdentifierTypeStateIssuer
EX0791MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Charity Home Care Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013940329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 F R HUFF DR",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291351473",
            "telephone_number": "803-874-2188",
            "fax_number": "803-874-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 F R HUFF DR",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291351473",
            "telephone_number": "803-874-2188",
            "fax_number": "803-874-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITY HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEA",
        "authorized_official_first_name": "PEARL",
        "authorized_official_middle_name": "LEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-874-2188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0791",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Matthews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.