State of South Carolina

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA-001 Issued in SC

Legal business name

STATE OF SOUTH CAROLINA

Practice address

220 McGee Rd
Anderson, SC 29625-2104

Phone

(864) 260-5601

Fax

(866) 310-7688

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lee A Kirkpatrick, LMSW

Title

Director/Home Health Administrator

Phone

(803) 576-2916

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SC DHEC Upstate Home Health Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Anderson, SC
  • NPI 1669846382

  Sold to, 2016-01-01

  CMS change of ownership

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1174540140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252104",
            "telephone_number": "864-260-5601",
            "fax_number": "866-310-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MCGEE RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252104",
            "telephone_number": "864-260-5601",
            "fax_number": "866-310-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "803-576-2916",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "153539",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER",
            "identifier": "20021657",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411983",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC DHEC Upstate Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Stallings
• Efthemia Mentis Stamey, NP
• Heather M Stancell, PTA
• Megan Stanland
• Camryn Stansell
• State of South Carolina
• State of South Carolina
• State of South Carolina Comptroller General
• Amy Lynn Steadman, HAS
• Sharon S. Steed, SLP

• All providers in Anderson, SC
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.