A Village Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

A VILLAGE HOME CARE LLC

Practice address

1408 Russell St Ste 15
Orangeburg, SC 29115-6071

Phone

(804) 937-5841

Fax

(803) 937-6436

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Loretta W Green

Title

Owner/Ceo

Phone

(803) 937-5841

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1164040788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 RUSSELL ST STE 15",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156071",
            "telephone_number": "804-937-5841",
            "fax_number": "803-937-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 RUSSELL ST STE 15",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156071",
            "telephone_number": "804-937-5841",
            "fax_number": "803-937-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A VILLAGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "803-937-5841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.