The Neighborhood Nurse, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE NEIGHBORHOOD NURSE, LLC

Practice address

9890 Windsor Lake Blvd Ste B
Columbia, SC 29223-2028

Phone

(803) 888-7800

Fax

(803) 818-3378

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By 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

Mr. Christopher Shields, RN

Title

Owner

Phone

(803) 888-7800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris Shields, RN

  • Administrator Registered Nurse
  • Columbia, SC
  • NPI 1356054910
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1205426277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 WINDSOR LAKE BLVD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-888-7800",
            "fax_number": "803-818-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 WINDSOR LAKE BLVD STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292232028",
            "telephone_number": "803-888-7800",
            "fax_number": "803-818-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEIGHBORHOOD NURSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-888-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Columbia, SC
• Providers in Columbia, 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 Jan 22, 2021; 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.