Organization Active NPI

Trueblue Management Group

Doing business as Nine Mgmt

  • Adult Companion
  • Indian Land, SC
National Provider Identifier
1073144689
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
TRUEBLUE MANAGEMENT GROUP
Doing business as
Nine Mgmt
Practice address
719 Kathy Dianne Dr # 342
Indian Land, SC 29707-6905
Phone
(704) 559-9862
NPI assigned
Feb 1, 2020
Last updated
Feb 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TRUEBLUE MANAGEMENT GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2020

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

Authorized official

Name
Hiram Sutton
Title
Manager
Phone
(704) 559-9862

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

719 Kathy Dianne Dr # 342
Indian Land, SC 29707-6905

Mailing address

6047 Tyvola Glen Cir
Charlotte, NC 28217-6431

Other names 1

  • Nine Mgmt Doing business as

National Provider Directory

National Provider Directory
Part of
Trueblue Management Group

NPI Registry JSON

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580515200000",
    "number": "1073144689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 KATHY DIANNE DR # 342",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076905",
            "telephone_number": "704-559-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUEBLUE MANAGEMENT GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUEBLUE MANAGEMENT GROUP",
        "enumeration_date": "2020-02-01",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-559-9862"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nine Mgmt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; 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.