Organization Active NPI

Young at Heart Home Care Services LLC

  • Technician
  • Hopkins, SC
National Provider Identifier
1265249460
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
Legal business name
YOUNG AT HEART HOME CARE SERVICES LLC
Practice address
253 Gusty Lane
Hopkins, SC 29061
Phone
(803) 868-7625
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Ms. Angela E. Flood
Title
Owner
Phone
(803) 403-7934

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Custodial Care Facility 311Z00000X
TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 374700000X Primary

Addresses

Primary practice location

253 Gusty Lane
Hopkins, SC 29061

Mailing address

253 Gusty Lane
Hopkins, SC 29061
Phone (803) 403-7934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1265249460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 GUSTY LANE",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "29061",
            "telephone_number": "803-403-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 GUSTY LANE",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "29061",
            "telephone_number": "803-868-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AT HEART HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-403-7934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.