NCSC Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NCSC HOME CARE SERVICES LLC

Practice address

1565 Ebenezer Rd Ste 111
Rock Hill, SC 29732-3421

Phone

(803) 792-9211

Fax

(803) 693-5465

NPI assigned

Jan 29, 2019

Organization subpart

No

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

Authorized official

Name

Yusuf Muhammad

Title

Presidnt

Phone

(803) 792-9211

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1235693797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD STE 111",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323421",
            "telephone_number": "803-792-9211",
            "fax_number": "803-693-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD STE 111",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323421",
            "telephone_number": "803-792-9211",
            "fax_number": "803-693-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCSC HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "PRESIDNT",
        "authorized_official_telephone_number": "803-792-9211"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1460",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "IHCP-0596",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Rock Hill, SC
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• 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 29, 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.