Organization Active NPI

Affectionately Devoted Home Health

  • Meals Provider
  • Myrtle Beach, SC
National Provider Identifier
1104773472
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
AFFECTIONATELY DEVOTED HOME HEALTH
Practice address
2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164
Phone
(888) 304-2344
Fax
(888) 304-2344
NPI assigned
Mar 14, 2026
Last updated
Mar 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Authorized official

Name
Shanyel Gibson
Title
Ceo
Phone
(888) 304-2344

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Home Delivered Meals 332U00000X

Addresses

Primary practice location

2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164

Mailing address

2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164
Phone (888) 304-2344

National Provider Directory

National Provider Directory

Locations

2411 N Oak St
Ste 205F
Myrtle Beach, SC 29577
Phone (888) 304-2344

NPI Registry JSON

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1104773472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 205F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773164",
            "telephone_number": "888-304-2344",
            "fax_number": "888-304-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 205F",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773164",
            "telephone_number": "888-304-2344",
            "fax_number": "888-304-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIONATELY DEVOTED HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "SHANYEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-304-2344"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.