Active NPI
Evelyn Cruz
- In Home Supportive Care Agency
- Cheraw, SC
National Provider Identifier
1073430997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 107751227
- Practice address
- 104 Campbell Dr
Cheraw, SC 29520-3706 - Phone
- (860) 308-9370
- NPI assigned
- Jul 1, 2026
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 107751227 | SC | Primary |
Addresses
Primary practice location
104 Campbell Dr
Cheraw, SC 29520-3706
Mailing address
3644 Angelus Rd
Chesterfield, SC 29709-5340
Phone (860) 308-9370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1073430997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3644 ANGELUS RD",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "297095340",
"telephone_number": "860-308-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CAMPBELL DR",
"city": "CHERAW",
"state": "SC",
"postal_code": "295203706",
"telephone_number": "860-308-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "SC",
"license": "107751227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheraw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.