Wanda's Private Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WANDA'S PRIVATE HOME CARE LLC

Practice address

1530 N Fant St
Anderson, SC 29621-4700

Phone

(864) 318-1037

Fax

(864) 401-8658

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Wanda Yevone GrovesNPI 1548106560

Title

Owner

Phone

(864) 318-1037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wanda Groves

  • Contractor
  • Anderson, SC
  • NPI 1548106560
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1326822412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214700",
            "telephone_number": "864-318-1037",
            "fax_number": "864-401-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214700",
            "telephone_number": "864-318-1037",
            "fax_number": "864-401-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA'S PRIVATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "YEVONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-318-1037"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Walls
• Joseph Spencer Wallwork, DMD
• Walmart Pharmacy
• Kenneth Chet Walters, M.D.
• Shelly Whitaker Walters, APRN
• Megan Gawhe Wang, DO
• Steadman A Wang, MD
• Alexander Somerville Ward, O.D.
• Amy Beth Ward, COTA/L
• Crystal Ward, CCC-SLP

• In Home Supportive Care Agency in Anderson, SC
• Providers in Anderson, 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 Aug 21, 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.