Palmetto Home Healthcare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PALMETTO HOME HEALTHCARE

Practice address

1335 Ronald LN
Charleston, SC 29412-8227

Phone

(843) 297-5179

Fax

(843) 795-7317

NPI assigned

Nov 18, 2019

Last updated

Nov 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Audry Williams, MSN BSN RN

Title

Ceo

Phone

(843) 297-5179

Specialties & licenses 1

Addresses

Other names 1

• PALMETTO HOME HEALTHCARE Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1194361857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 RONALD LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128227",
            "telephone_number": "843-297-5179",
            "fax_number": "843-795-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 RONALD LN",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128227",
            "telephone_number": "843-297-5179",
            "fax_number": "843-795-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AUDRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-297-5179",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSN BSN RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Palmetto.Homehealthcare632@gmail.com",
            "affiliation": "N",
            "address_1": "1335 Ronald Ln",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294128227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PALMETTO HOME HEALTHCARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Charleston, SC
• Providers in Charleston, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.