Organization Active NPI

Life Quality Health Care

  • In Home Supportive Care Agency
  • Ravenel, SC
National Provider Identifier
1275969172
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.