Organization Active NPI

Reaching Your Potentials Home Care, LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1306622840
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
REACHING YOUR POTENTIALS HOME CARE, LLC
Practice address
44 Pine Knoll Dr Ste K
Greenville, SC 29609-3257
Phone
(864) 991-8856
Fax
(864) 991-8893
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Miss Yakisha Caravelle Watts, LPNNPI 1245913623
Title
Owner
Phone
(864) 567-6046

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 1

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

Addresses

Primary practice location

44 Pine Knoll Dr Ste K
Greenville, SC 29609-3257

Mailing address

44 Pine Knoll Dr Ste K
Greenville, SC 29609-3257
Phone (864) 991-8856

National Provider Directory

National Provider Directory

Locations

44 Pine Knoll Dr
Ste K
Greenville, SC 29609
Phone (864) 991-8856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1306622840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PINE KNOLL DR STE K",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093257",
            "telephone_number": "864-991-8856",
            "fax_number": "864-991-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PINE KNOLL DR STE K",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093257",
            "telephone_number": "864-991-8856",
            "fax_number": "864-991-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING YOUR POTENTIALS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "YAKISHA",
        "authorized_official_middle_name": "CARAVELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-567-6046",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.