NPIMap

Organization Active NPI

Trisouth Health Services Inc

  • Home Health Agency
  • Greenville, SC
National Provider Identifier
1063696623
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRISOUTH HEALTH SERVICES INC
Practice address
1435 Augusta Rd
Suite B
Greenville, SC 29605-4027
Phone
(704) 369-4533
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Veronica Southerland, RN,BSW
Title
Agency Supervisor
Phone
(704) 369-4533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1435 Augusta Rd
Suite B
Greenville, SC 29605-4027

Mailing address

PO Box 242036
Charlotte, NC 28224-2036
Phone (704) 369-4533

Other identifiers 2

IdentifierTypeStateIssuer
251E00000XMedicaidSC
251J00000XMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Trisouth Health Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1063696623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242036",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282242036",
            "telephone_number": "704-369-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 AUGUSTA RD",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054027",
            "telephone_number": "704-369-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISOUTH HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "704-369-4533",
        "authorized_official_credential": "RN,BSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251E00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251J00000X",
            "state": "SC"
        }
    ],
    "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 Dec 19, 2007; 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.