Active NPI
Blessed With Goodness, LLC
- In Home Supportive Care Agency
- Greenville, SC
National Provider Identifier
1023569837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX1561 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Blessed With Goodness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Charlotte, NC
- NPI 1427678515
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.