Organization Active NPI

Home Health of South Carolina Inc

  • Home Health Agency
  • West Columbia, SC
National Provider Identifier
1124012026
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA151 Issued in SC
Legal business name
HOME HEALTH OF SOUTH CAROLINA INC
Practice address
193 Medical Cir
West Columbia, SC 29169-3655
Phone
(803) 939-0266
Fax
(843) 939-1438
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Mr. James Frank Chisholm, CEO/COO
Title
Secretary
Phone
(843) 679-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA151 SC Primary

Addresses

Primary practice location

193 Medical Cir
West Columbia, SC 29169-3655

Mailing address

PO Box 5599
Florence, SC 29502-5599
Phone (843) 679-7060

Other identifiers 1

IdentifierTypeStateIssuer
473027MedicaidSC

Other names 1

  • Home Health of South Carolina Inc - Midlands Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1124012026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5599",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295025599",
            "telephone_number": "843-679-7060",
            "fax_number": "843-679-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MEDICAL CIR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693655",
            "telephone_number": "803-939-0266",
            "fax_number": "843-939-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH OF SOUTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "843-679-7060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO/COO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473027",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health of South Carolina Inc - Midlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.