Organization Active NPI

Secure Reign Living

  • In Home Supportive Care Agency
  • Elgin, SC
National Provider Identifier
1154291490
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SECURE REIGN LIVING
Practice address
415 Misty Knoll Dr
Elgin, SC 29045-9865
Phone
(843) 214-3813
NPI assigned
Nov 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Catrina Richburg
Title
Home Health
Phone
(843) 214-3813

Specialties & licenses 1

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

Addresses

Primary practice location

415 Misty Knoll Dr
Elgin, SC 29045-9865

Mailing address

415 Misty Knoll Dr
Elgin, SC 29045-9865
Phone (843) 214-3813

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1154291490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MISTY KNOLL DR",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459865",
            "telephone_number": "843-214-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MISTY KNOLL DR",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290459865",
            "telephone_number": "843-214-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE REIGN LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "RICHBURG",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "HOME HEALTH",
        "authorized_official_telephone_number": "843-214-3813"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.