Active NPI
TSD Healthcare, LLC
- In Home Supportive Care Agency
- Manning, SC
National Provider Identifier
1104612936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- TSD HEALTHCARE, LLC
- Practice address
- 1670 Arlen Rd
Manning, SC 29102-5097 - Phone
- (803) 225-0906
- NPI assigned
- Apr 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Gibson
- Title
- Owner
- Phone
- (803) 225-0906
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Skilled Nursing Facility | 314000000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1670 Arlen Rd
Manning, SC 29102-5097
Mailing address
1670 Arlen Rd
Manning, SC 29102-5097
Phone (803) 225-0906
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Manning, SC
- NPI 1124744149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744848000000",
"number": "1104612936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 ARLEN RD",
"city": "MANNING",
"state": "SC",
"postal_code": "291025097",
"telephone_number": "803-225-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 ARLEN RD",
"city": "MANNING",
"state": "SC",
"postal_code": "291025097",
"telephone_number": "803-225-0906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TSD HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-17",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-225-0906"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.