NPIMap

Organization Active NPI

Ensure Home Care of South Carolina

  • Home Health Agency
  • Rock Hill, SC
National Provider Identifier
1265799639
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC4546 Issued in NC
Legal business name
ENSURE HOME CARE OF SOUTH CAROLINA
Practice address
1565 Ebenezer Rd
Suite 140
Rock Hill, SC 29732-2494
Phone
(803) 230-3415
Fax
(803) 701-9131
NPI assigned
Apr 23, 2012
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Velda SimmonsNPI 1235571548
Title
Manger
Phone
(704) 258-6366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X HC4546 NC Primary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Respite Care 385H00000X

Addresses

Primary practice location

1565 Ebenezer Rd
Suite 140
Rock Hill, SC 29732-2494

Mailing address

3437 Pondridge CT
Charlotte, NC 28269-2111
Phone (704) 975-2484

Other identifiers 1

IdentifierTypeStateIssuer
EX1762MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1265799639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 PONDRIDGE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282692111",
            "telephone_number": "704-975-2484",
            "fax_number": "864-651-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 EBENEZER RD",
            "address_2": "SUITE 140",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322494",
            "telephone_number": "803-230-3415",
            "fax_number": "803-701-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSURE HOME CARE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "VELDA",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "704-258-6366"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4546",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1762",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.