Organization Active NPI

Blessed With Goodness, LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1023569837
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLESSED WITH GOODNESS, LLC
Practice address
716 E. Fairfield Road
Unit 120 (Mailbox # 14)
Greenville, SC 29605
Phone
(864) 520-8213
Fax
(864) 520-8214
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Africa Dixon
Title
Ceo/Owner
Phone
(864) 404-1169

Specialties & licenses 1

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

Addresses

Primary practice location

716 E. Fairfield Road
Unit 120 (Mailbox # 14)
Greenville, SC 29605

Mailing address

716 E. Fairfield Road
Unit 120 (Mailbox # 14)
Greenville, SC 29605
Phone (864) 520-8213

Other identifiers 1

IdentifierTypeStateIssuer
EX1561MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Blessed With Goodness 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.

Locations

716 E Fairfield Rd
Unit 120
Greenville, SC 29605
Phone (864) 520-8213

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023569837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E. FAIRFIELD ROAD",
            "address_2": "UNIT 120 (MAILBOX # 14)",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-520-8213",
            "fax_number": "864-520-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E. FAIRFIELD ROAD",
            "address_2": "UNIT 120 (MAILBOX # 14)",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-520-8213",
            "fax_number": "864-520-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED WITH GOODNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "AFRICA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "864-404-1169"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.