Shawnta Grant

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IHCP-1756 Issued in SC

Practice address

1253 Dickson Ave Ste 105
Hanahan, SC 29410-2853

Phone

(843) 901-1242

NPI assigned

Nov 29, 2022

Last updated

Nov 29, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shawntagrant@halohcservices.com

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

• Halo Home Care Services

  • Home Health Agency
  • Hanahan, SC
  • NPI 1013753474
  NPD Authorized official

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1093425209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 DICKSON AVE STE 105",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102853",
            "telephone_number": "843-901-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 DICKSON AVE STE 105",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102853",
            "telephone_number": "843-901-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SHAWNTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-1756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC HOME CARE LICENSE NUMBER",
            "identifier": "IHCP-1756",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shawntagrant@halohcservices.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1253 Dickson Ave Ste 105",
            "city": "Hanahan",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294102853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Durlach, DMD
• Amber Etienne, OTR
• Jennifer Teal Frazier, OTR/L
• Jessica Urania Frazier
• Brooke Jackson Gerlach, PA-C
• Justine Quinn Gullia, DDS
• Zachary Hale, PT
• Paris Shaundria Hall
• Halo Home Care Services
• Gaines W Hammond III, DMD

• Home Health Agency in Hanahan, SC
• Providers in Hanahan, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.