Active NPI
Life Quality Health Care
- In Home Supportive Care Agency
- Ravenel, SC
National Provider Identifier
1275969172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIFE QUALITY HEALTH CARE
- Practice address
- 4265 Duck Club Rd
Ravenel, SC 29470-3318 - Phone
- (843) 501-0211
- Fax
- (888) 887-5076
- NPI assigned
- Sep 24, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. James Thomas Wingard III
- Title
- Administrator
- Phone
- (843) 458-4601
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4265 Duck Club Rd
Ravenel, SC 29470-3318
Mailing address
4265 Duck Club Rd
Ravenel, SC 29470-3318
Phone (843) 501-0211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2013.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1275969172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4265 DUCK CLUB RD",
"city": "RAVENEL",
"state": "SC",
"postal_code": "294703318",
"telephone_number": "843-501-0211",
"fax_number": "888-887-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4265 DUCK CLUB RD",
"city": "RAVENEL",
"state": "SC",
"postal_code": "294703318",
"telephone_number": "843-501-0211",
"fax_number": "888-887-5076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE QUALITY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "WINGARD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "843-458-4601",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ravenel, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.