NPIMap

Organization Active NPI

Provided Care in-Home Services LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1144577990
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
253Z00000X Issued in SC
Legal business name
PROVIDED CARE IN-HOME SERVICES LLC
Practice address
25 Woods Lake Rd. Suite 410
Greenville, SC 29607
Phone
(864) 200-2796
Fax
(864) 451-7665
NPI assigned
Aug 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Mr. Travis R. DoganNPI 1326428939
Title
Owner
Phone
(864) 200-2796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 253Z00000X SC Primary

Addresses

Primary practice location

25 Woods Lake Rd. Suite 410
Greenville, SC 29607

Mailing address

25 Woods Lake Rd. Suite 410
Greenville, SC 29607
Phone (864) 200-2796

National Provider Directory

National Provider Directory
Tax ID family
Provided Care in Home Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Woods Lake Rd
Ste 410
Greenville, SC 29607
Phone (864) 200-2796

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1144577990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD. SUITE 410",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-200-2796",
            "fax_number": "864-451-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD. SUITE 410",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-200-2796",
            "fax_number": "864-451-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDED CARE IN-HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "DOGAN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-200-2796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.