NPIMap

Organization Active NPI

Trinity Haven Homecare Group

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1174144729
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRINITY HAVEN HOMECARE GROUP
Practice address
127 Commons Way Ste C
Greenville, SC 29611-3850
Phone
(864) 417-7201
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Demica Fowler
Title
Owner
Phone
(864) 417-7201

Specialties & licenses 1

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

Addresses

Primary practice location

127 Commons Way Ste C
Greenville, SC 29611-3850

Mailing address

127 Commons Way Ste C
Greenville, SC 29611-3850
Phone (864) 417-7201

National Provider Directory

National Provider Directory

Locations

127 Commons Way
Ste C
Greenville, SC 29611
Phone (864) 417-7201

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1174144729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 COMMONS WAY STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-417-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COMMONS WAY STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113850",
            "telephone_number": "864-417-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HAVEN HOMECARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "DEMICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-417-7201"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 5, 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.