Organization Active NPI

Palmetto Personal & Senior Care

  • Home Health Agency
  • Hopkins, SC
National Provider Identifier
1114368842
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
45196-44251 Issued in SC
Legal business name
PALMETTO PERSONAL & SENIOR CARE
Practice address
16 Willow Wind LN
Hopkins, SC 29061-9689
Phone
(803) 543-6179
NPI assigned
Jul 10, 2013
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mr. Ronyal Lenard Watson Sr.
Title
Owner
Phone
(803) 543-6179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 45196-44251 SC Primary

Addresses

Primary practice location

16 Willow Wind LN
Hopkins, SC 29061-9689

Mailing address

16 Willow Wind LN
Hopkins, SC 29061-9689
Phone (803) 543-6179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1114368842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WILLOW WIND LN",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290619689",
            "telephone_number": "803-543-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WILLOW WIND LN",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290619689",
            "telephone_number": "803-543-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PERSONAL & SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RONYAL",
        "authorized_official_middle_name": "LENARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-543-6179",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "45196-44251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.