NPIMap

Organization Active NPI

Health Spa Health Care LLC

  • In Home Supportive Care Agency
  • Fort Mill, SC
National Provider Identifier
1245731520
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
180212-1116552 Issued in SC
Legal business name
HEALTH SPA HEALTH CARE LLC
Practice address
3011 Drewsky LN
Fort Mill, SC 29715-0094
Phone
(706) 394-6296
NPI assigned
Feb 22, 2018
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Jelethia Terrell
Title
Owner
Phone
(706) 394-6296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 180212-1116552 SC Primary

Addresses

Primary practice location

3011 Drewsky LN
Fort Mill, SC 29715-0094

Mailing address

3011 Drewsky LN
Fort Mill, SC 29715-0094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1245731520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 DREWSKY LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 DREWSKY LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150094",
            "telephone_number": "706-394-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "JELETHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-394-6296"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "180212-1116552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.