Active NPI
Eloise W Pea
- Case Manager/Care Coordinator
- Spartanburg, SC
National Provider Identifier
1306409800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 211 Briarcliff Rd
Spartanburg, SC 29301-3017 - Phone
- (864) 804-6215
- Fax
- (864) 804-6238
- NPI assigned
- Apr 19, 2019
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
211 Briarcliff Rd
Spartanburg, SC 29301-3017
Mailing address
PO Box 1342
Roebuck, SC 29376-1342
Phone (864) 612-3412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90-0529220 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eloisepea@handsondevelopmentalservices.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands on Developmental Services, LLC | Past | 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.
-
- Early Intervention Provider Agency
- Spartanburg, SC
- NPI 1326602319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1306409800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1342",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293761342",
"telephone_number": "864-612-3412",
"fax_number": "864-804-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BRIARCLIFF RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013017",
"telephone_number": "864-804-6215",
"fax_number": "864-804-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEA",
"first_name": "ELOISE",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90-0529220",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eloisepea@handsondevelopmentalservices.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "864-804-6238",
"address_1": "211 Briarcliff Rd",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293013017",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.