Active NPI
Trueblue Management Group
Doing business as Nine Mgmt
- Adult Companion
- Indian Land, SC
National Provider Identifier
1073144689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- TRUEBLUE MANAGEMENT GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Driver | 172A00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | Primary | ||
| Personal Care Attendant | 3747P1801X | |||
| Nurse's Aide | 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
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.