Upstate Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UPSTATE HOME CARE LLC

Doing business as

FirstLight HomeCare of Greenville

Practice address

24 Woods Lake Rd
Suite 300
Greenville, SC 29607

Phone

(864) 438-2995

Fax

(864) 438-0887

NPI assigned

Jul 22, 2013

Organization subpart

No

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

Authorized official

Name

Jenny Verdin Mitchell, RN

Title

Director of Client Care

Phone

(864) 438-2996

Specialties & licenses 1

Addresses

Other names 1

• FirstLight HomeCare of Greenville Doing business as

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1053753814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WOODS LAKE RD",
            "address_2": "SUITE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-438-2995",
            "fax_number": "864-438-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WOODS LAKE RD",
            "address_2": "SUITE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-438-2995",
            "fax_number": "864-438-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "VERDIN",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT CARE",
        "authorized_official_telephone_number": "864-438-2996",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare of Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Greenville, SC
• Providers in Greenville, 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 Jul 22, 2013; 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.