Organization Active NPI

Selene Healthcare Staffing and Home Care

  • In Home Supportive Care Agency
  • Effingham, SC
National Provider Identifier
1184484149
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SELENE HEALTHCARE STAFFING AND HOME CARE
Practice address
4620 Charlie Cade Rd
Effingham, SC 29541-7733
Phone
(843) 373-6029
NPI assigned
Mar 19, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Ms. Alana Mariel Timmons
Title
Owner
Phone
(843) 373-6029

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

4620 Charlie Cade Rd
Effingham, SC 29541-7733

Mailing address

4620 Charlie Cade Rd
Effingham, SC 29541-7733
Phone (843) 373-6029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1184484149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 CHARLIE CADE RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295417733",
            "telephone_number": "843-373-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 CHARLIE CADE RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295417733",
            "telephone_number": "843-373-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELENE HEALTHCARE STAFFING AND HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "MARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-373-6029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.