Active NPI
Dynesha Thomas
- In Home Supportive Care Agency
- Florence, SC
National Provider Identifier
1124631056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 525 3Rd Loop Rd Apt H
Florence, SC 29505-4706 - Phone
- (843) 734-7199
- NPI assigned
- Aug 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
525 3Rd Loop Rd Apt H
Florence, SC 29505-4706
Mailing address
2011 2ND Loop Rd Ste C
Florence, SC 29501-6187
Phone (843) 702-0156
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | boujeebundles91@gmail.com | Direct | |
| Other URL | homecare@caregiverconnect1.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1124631056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 2ND LOOP RD STE C",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016187",
"telephone_number": "843-702-0156",
"fax_number": "843-720-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 3RD LOOP RD APT H",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295054706",
"telephone_number": "843-734-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DYNESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "boujeebundles91@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "525 3rd Loop Rd Apt H",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295054706",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "homecare@caregiverconnect1.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2011 2nd Loop Rd Ste C",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295016187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.