Erika S Mitchell

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-0853 Issued in SC

Practice address

5037 Govan Rd
Hollywood, SC 29449-6130

Phone

(843) 906-0168

NPI assigned

Jul 15, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tori Senior Home Care LLC

  • In Home Supportive Care Agency
  • Charleston, SC
  • NPI 1447868211
  NPD Authorized official

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1336757343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FABER PLACE DR STE 300",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058587",
            "telephone_number": "843-906-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 GOVAN RD",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294496130",
            "telephone_number": "843-906-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ERIKA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Macher, RD, LD
• Antonia Mack, RN
• Kaylee McDaniel
• Medibridge Health (MediConnect)
• Alicia Mitchell
• Piggly Wiggly Hollywood Inc (Piggly Wiggly Pharmacy #19)
• Piggly Wiggly Hollywood, Inc. (Price Wise Pharmacy #19)
• Pje LLC
• Taleesa Porter
• Preferred Care Pharmaceutical Services Inc (Preferred Care Pharmaceutical SVCS)

• In Home Supportive Care Agency in Hollywood, SC
• Providers in Hollywood, 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 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.