Latosha Johnson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-1907 Issued in SC

Practice address

3236 Landmark Dr Ste 122
North Charleston, SC 29418-8490

Phone

(843) 530-1946

NPI assigned

Oct 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prominent Home Care

  • In Home Supportive Care Agency
  • North Charleston, SC
  • NPI 1790566149
  NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1073394417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 LADYWOOD DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867079",
            "telephone_number": "843-530-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 LANDMARK DR STE 122",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188490",
            "telephone_number": "843-530-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATOSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Charles Johannesmeyer, M.D.
• John Durant DMD LLC
• Deloris Johnson
• Jacques Roshana Johnson
• Jade Ariana Johnson, OTR/L, MSOT
• Lydia Johnson, ATC
• Markita M Johnson, RN
• Melissa C Johnson, RN
• O'Shey Gregory Johnson
• Ryan Johnson

• In Home Supportive Care Agency in North Charleston, SC
• Providers in North Charleston, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.