Pouring 4 Purpose, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

POURING 4 PURPOSE, LLC

Practice address

1416 Bethlehem Rd
Hartsville, SC 29550-1716

Phone

(843) 250-6679

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Nicole Drake

Title

Director

Phone

(843) 250-6679

Specialties & licenses 1

Addresses

Tax ID family

Pouring 4 Purpose LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pouring 4 Purpose, LLC

  • Non-emergency Medical Transport (VAN)
  • Hartsville, SC
  • NPI 1508300773
  NPD tax ID
• Pouring 4 Purpose, LLC

  • Counselor
  • Hartsville, SC
  • NPI 1922541671
  NPD tax ID

Locations

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1255875647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BETHLEHEM RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501716",
            "telephone_number": "843-250-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 BETHLEHEM RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501716",
            "telephone_number": "843-250-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURING 4 PURPOSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-250-6679"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy D Poaps, DMD
• Dawn Lynne Porter, AADC-IP 2108
• Danny Laverne Poston Jr., PHARM.D.
• Megan Anne Potts, ATC
• Krista Michelle Poulton, FNP-BC
• Pouring 4 Purpose, LLC
• Pouring 4 Purpose, LLC
• Joseph Williamson Powell Jr., M.D.
• Premise Health of South Carolina Medical PC (Sonoco Health Connection)
• Prestwood Radiology, LLP

• Case Management Agency in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.