Procare Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

48295-47273 Issued in SC

Legal business name

PROCARE HOME CARE INC

Practice address

1624 Decker Blvd
Columbia, SC 29206-5210

Phone

(803) 708-7100

Fax

(888) 763-9765

NPI assigned

Jul 21, 2014

Last updated

Jul 21, 2014By 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

Mrs. Angelina GreeneNPI 1760298483

Title

Director

Phone

(803) 708-7100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelina Greene

  • In Home Supportive Care Agency
  • Columbia, SC
  • NPI 1760298483
  NPD (past) Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1053728295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 DECKER BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065210",
            "telephone_number": "803-708-7100",
            "fax_number": "888-763-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 DECKER BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292065210",
            "telephone_number": "803-708-7100",
            "fax_number": "888-763-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-708-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "48295-47273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.