Kevin Vaughan

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

425 Summit Terrace CT, BLDG 1 Ste -A1
Columbia, SC 29229

Phone

(803) 760-6169

NPI assigned

Sep 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asclepius Homecare

  • In Home Supportive Care Agency
  • Columbia, SC
  • NPI 1982552790
  NPD Authorized official

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1245066901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHALLOW BROOK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SUMMIT TERRACE CT, BLDG 1 STE -A1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-760-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Douglas Vaughan, M.D.
• Dorothy E. Vaughan, REGISTERED NURSE
• George Dennis Vaughan III, M.D.
• Jennifer Vaughan, DPT
• Joshua Douglas Vaughan, DPT
• Laura Anne Vaughan, PA-C
• Robert Vaughan, M.D.
• Zandra Chinae Vaughan, MSW, LISW
• Vaughn Physical Therapy, LLC
• Javan Bozard Vaughn, MSN, FNP-C

• Personal Care Attendant in Columbia, SC
• Providers in Columbia, SC by specialty
• Personal Care Attendant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.