Professional Way Healthcare Staffing, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

PROFESSIONAL WAY HEALTHCARE STAFFING, LLC

Practice address

1517 E Bobo Newsom Hwy Unit G
Hartsville, SC 29550-6269

Phone

(843) 616-7805

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Patriece Sims

Title

Owner

Phone

(843) 616-7805

Specialties & licenses 1

Addresses

Other names 1

• Professional Way Healthcare Staffing & Training Center, LLC Former legal business name

Locations

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1073374849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 CHARLES DR",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295408855",
            "telephone_number": "843-616-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 E BOBO NEWSOM HWY UNIT G",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295506269",
            "telephone_number": "843-616-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL WAY HEALTHCARE STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "PATRIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-616-7805"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Way Healthcare Staffing & Training Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Personal Care Attendant in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Personal Care Attendant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.