Active NPI
Shevonne Latrell Thompson
- Home Health Aide
- Marion, SC
National Provider Identifier
1265869689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 8643
- Practice address
- 320 N Main St
Marion, SC 29571-3028 - Phone
- (843) 423-0896
- Fax
- (843) 423-0296
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 8643 | SC | Primary |
Addresses
Primary practice location
320 N Main St
Marion, SC 29571-3028
Mailing address
320 N Main St
Marion, SC 29571-3028
Phone (843) 423-0896
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8643 | SC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touching Hearts Home Care Agency | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Lake City, SC
- NPI 1619343894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1265869689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295713028",
"telephone_number": "843-423-0896",
"fax_number": "843-423-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295713028",
"telephone_number": "843-423-0896",
"fax_number": "843-423-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHEVONNE",
"middle_name": "LATRELL",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "8643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.