Shaniquo D Holliday

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1HCP-1442 Issued in SC

Practice address

444B Broad St
Sumter, SC 29150-4157

Phone

(803) 607-5902

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By 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 1

Addresses

Other identifiers 1

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1144986753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444B BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504157",
            "telephone_number": "803-607-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444B BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504157",
            "telephone_number": "803-607-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "SHANIQUO",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "1HCP-1442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86-1713828",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maritza Aminta Hogan, PH.D.
• Aubrey Rickard Holladay, NP
• John W Holladay, PHD, RPH
• Michelle W. Holland, MA, CACI
• Carolyn D Holliday, DMD
• Beaunnia Holmes
• Christian Elizabeth-Mildred Holmes, LMSW
• Home Care Plus Sumter
• Honey DO Home Improvement, LLC (DreamBath)
• William Brunson Hoole IV, AUD

• In Home Supportive Care Agency in Sumter, SC
• Providers in Sumter, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.