Antonia Mack, RN

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

270246 Issued in SC

Practice address

6720 Hollytree Dr
Hollywood, SC 29449-6919

Phone

(843) 860-2615

NPI assigned

Jun 1, 2021

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1124694088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 STILL HEIGHTS LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867152",
            "telephone_number": "843-603-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 HOLLYTREE DR",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294496919",
            "telephone_number": "843-860-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ANTONIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "270246",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "270246",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "270246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Diane Keisler, RPH
• Tamela S Kizer, RN
• Jeanette Kluckowski, RN
• Lala's Home Healthcare,LLC
• Melissa Macher, RD, LD
• Kaylee McDaniel
• Medibridge Health (MediConnect)
• Alicia Mitchell
• Erika S Mitchell
• Piggly Wiggly Hollywood Inc (Piggly Wiggly Pharmacy #19)

• Nursing Care Agency in Hollywood, SC
• Providers in Hollywood, SC by specialty
• Nursing Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.