PSW Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PSW HOMECARE LLC

Doing business as

Visiting Angels - Columbia / Sumter

Practice address

144 Garrett St
Sumter, SC 29150-3846

Phone

(803) 418-5441

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Paul Wommack

Title

Owner

Phone

(254) 716-5877

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels - Columbia / Sumter Doing business as

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1043985112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8175",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767148175",
            "telephone_number": "254-716-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GARRETT ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291503846",
            "telephone_number": "803-418-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSW HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "WOMMACK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-716-5877"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels - Columbia / Sumter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Evan Queen, PTA
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• Grover Edens Rabon, DMD
• James Keith Rabon, DMD
• Ragin Wellness Center LLC

• Home Health Agency in Sumter, SC
• Providers in Sumter, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.