NPIMap

Organization Active NPI

HSSC Homecare

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1053834382
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0652 Issued in SC
Legal business name
HSSC HOMECARE
Practice address
25 Woods Lake Rd Ste 408
Greenville, SC 29607-2763
Phone
(864) 979-0846
NPI assigned
Jul 19, 2017
Last updated
Jul 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Tracie BlueNPI 1447867205
Title
Ceo
Phone
(864) 979-0846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X IHCP-0652 SC
In Home Supportive Care Agency 253Z00000X IHCP-0652 SC Primary

Addresses

Primary practice location

25 Woods Lake Rd Ste 408
Greenville, SC 29607-2763

Mailing address

PO Box 26534
Greenville, SC 29616-1534

National Provider Directory

National Provider Directory

Locations

25 Woods Lake Rd
Ste 408
Greenville, SC 29607
Phone (864) 979-0846

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1053834382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26534",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 408",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072763",
            "telephone_number": "864-979-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSSC HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-979-0846"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "IHCP-0652",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0652",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2017; 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.