Lizzie's Recovery House LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIZZIE'S RECOVERY HOUSE LLC

Practice address

312 Quiet Creek Rd
Blythewood, SC 29016-7193

Phone

(803) 422-4091

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennie J Miller

Title

Agent

Phone

(803) 422-4091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1326649195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 QUIET CREEK RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167193",
            "telephone_number": "803-422-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 QUIET CREEK RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167193",
            "telephone_number": "803-422-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZZIE'S RECOVERY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "803-422-4091",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kuhn, CCC-SLP
• Latanya Shingler Lemon
• Tamika Lewis, PH.D., LPC, NCC
• Lexington Health Inc (Blythewood Family Medicine)
• Living Water Chiropractic
• Localmotion Transportation LLC
• Love&Care Home Healthcare Agency, LLC
• Sherry Macaluso, LPC, LPES
• Stephanie Maiorano, BSN, RN
• Krysta Major

• In Home Supportive Care Agency in Blythewood, SC
• Providers in Blythewood, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.