Organization Active NPI

Pee Dee Health Care, Inc.

  • Home Health Agency
  • Dillon, SC
National Provider Identifier
1326106162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
EX0554 Issued in SC
Legal business name
PEE DEE HEALTH CARE, INC.
Practice address
100 E Madison St
Dillon, SC 29536-2466
Phone
(843) 774-6695
Fax
(843) 774-8012
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Ashli N Moore
Title
Administration
Phone
(843) 774-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X EX0554 SC Primary

Addresses

Primary practice location

100 E Madison St
Dillon, SC 29536-2466

Mailing address

100 E Madison St
Dillon, SC 29536-2466
Phone (843) 774-6695

National Provider Directory

National Provider Directory

Locations

100 E Madison St
Dillon, SC 29536
Phone (843) 774-6695

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326106162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MADISON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362466",
            "telephone_number": "843-774-6695",
            "fax_number": "843-774-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MADISON ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362466",
            "telephone_number": "843-774-6695",
            "fax_number": "843-774-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ASHLI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "843-774-6695",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "EX0554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.