Organization Active NPI

Shantilal LLC

  • In Home Supportive Care Agency
  • Conway, SC
National Provider Identifier
1164070611
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHANTILAL LLC
Practice address
3415 Highway 701 N Unit B
Conway, SC 29526-5735
Phone
(864) 279-5967
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Mansi PatelNPI 1255987269
Title
Owner
Phone
(864) 279-5967

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 Primary

Addresses

Primary practice location

3415 Highway 701 N Unit B
Conway, SC 29526-5735

Mailing address

2408 Westbrook Dr
Conway, SC 29527-3150

National Provider Directory

National Provider Directory

Locations

3415 Highway 701 N
Unit B
Conway, SC 29526
Phone (864) 279-5967

Practitioners & affiliated clinicians

Practitioners 1

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": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1164070611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WESTBROOK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295273150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HIGHWAY 701 N UNIT B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295265735",
            "telephone_number": "864-279-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTILAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-279-5967"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.