Active NPI
Martina Ma
- In Home Supportive Care Agency
- Anderson, SC
National Provider Identifier
1336831163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHCP-1909
- Practice address
- 113 Amanda Dr
Anderson, SC 29621-2406 - Phone
- (864) 202-2028
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | IHCP-1909 | SC | Primary |
Addresses
Primary practice location
113 Amanda Dr
Anderson, SC 29621-2406
Mailing address
113 Amanda Dr
Anderson, SC 29621-2406
Phone (864) 202-2028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IHCP-1909 | SC | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ma Upstate Professionals LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Acti-Kare
- In Home Supportive Care Agency
- Anderson, SC
- NPI 1518650084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1336831163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 AMANDA DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212406",
"telephone_number": "864-202-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 AMANDA DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212406",
"telephone_number": "864-202-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "MARTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "SC",
"license": "IHCP-1909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
- Luxottica of America Inc. (Lenscrafters #853)
- Luxottica Retail North America Inc (LensCrafters #362)
- Lymphedema and Rehab Center, LLC
- Wendy Sumie Lynch, PA
- Ma Upstate Professionals LLC (Acti-Kare)
- Aaron C Macdonald, M.D.
- Mary Elizabeth Macgregor, CPNP-PC
- Rita P Macon, CAC II
- Praveen Reddy Madadi, MD
- Barry H Maddox, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.