Organization Active NPI

Everlasting Arms Home Care LLC

  • Home Health Agency
  • Chesterfield, SC
National Provider Identifier
1104291939
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERLASTING ARMS HOME CARE LLC
Practice address
301C East Blvd
Chesterfield, SC 29709-1735
Phone
(843) 623-3776
Fax
(843) 623-9851
NPI assigned
Dec 4, 2015
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Tyronda Ross
Title
Owner/Ceo
Phone
(843) 680-6859

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

301C East Blvd
Chesterfield, SC 29709-1735

Mailing address

PO Box 855
Chesterfield, SC 29709-0855
Phone (843) 680-6859

National Provider Directory

National Provider Directory

Locations

109 Main St
Chesterfield, SC 29709
Phone (843) 623-6796

301C East Blvd
Chesterfield, SC 29709
Phone (843) 623-3776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1104291939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297090855",
            "telephone_number": "843-680-6859",
            "fax_number": "843-623-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301C EAST BLVD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297091735",
            "telephone_number": "843-623-3776",
            "fax_number": "843-623-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING ARMS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TYRONDA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "843-680-6859"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.