Individual provider Active NPI

Sharon Shumpert, ADMINISTRATOR

  • In Home Supportive Care Agency
  • Orangeburg, SC
National Provider Identifier
1245948124
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
1117 Doyle St
Orangeburg, SC 29115-4797
Phone
(803) 747-7498
Fax
(803) 857-8236
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

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

Addresses

Primary practice location

1117 Doyle St
Orangeburg, SC 29115-4797

Mailing address

1117 Doyle St
Orangeburg, SC 29115-4797
Phone (803) 747-7498

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connect Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1245948124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 DOYLE ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154797",
            "telephone_number": "803-747-7498",
            "fax_number": "803-857-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 DOYLE ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154797",
            "telephone_number": "803-747-7498",
            "fax_number": "803-857-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMPERT",
        "first_name": "SHARON",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect",
            "affiliation": "N",
            "endpointDescription": "connect",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1117 Doyle St",
            "city": "Orangeburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291154797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.