Grantham Home Health

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

GRANTHAM HOME HEALTH

Practice address

447 Grantham Rd
Irmo, SC 29063-2417

Phone

(631) 710-9092

NPI assigned

Mar 11, 2024

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marlon E Leer

Title

Owner

Phone

(631) 710-9092

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1033977400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 GRANTHAM RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632417",
            "telephone_number": "631-710-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 GRANTHAM RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632417",
            "telephone_number": "631-710-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTHAM HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "LEER",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-710-9092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gould III, DO
• Dreyanna Grandison
• Catina Grant, LPCA
• Frownieta Grant, M.A., CCC-SLP
• Kala Michelle Grant, CLC
• Kristen Lynn Gray-Mitchell, RPH
• Ashlee Gregory, PT, DPT
• Rohini Grewal, D.P.T.
• Haley M Griggs, APRN
• Amber Morris Gross

• Personal Care Attendant in Irmo, SC
• Providers in Irmo, SC by specialty
• Personal Care Attendant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.