Organization Active NPI

Homecare Advantage, Inc

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1346276474
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOMECARE ADVANTAGE, INC
Practice address
715 Betsy Dr
Suite 9B
Columbia, SC 29210-7867
Phone
(803) 772-2390
Fax
(803) 772-2392
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Shirley S Young
Title
Ceo
Phone
(803) 772-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

715 Betsy Dr
Suite 9B
Columbia, SC 29210-7867

Mailing address

715 Betsy Dr
Suite 9B
Columbia, SC 29210-7867
Phone (803) 772-2390

Other identifiers 1

IdentifierTypeStateIssuer
EXMedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1346276474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BETSY DR",
            "address_2": "SUITE 9B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107867",
            "telephone_number": "803-772-2390",
            "fax_number": "803-772-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BETSY DR",
            "address_2": "SUITE 9B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107867",
            "telephone_number": "803-772-2390",
            "fax_number": "803-772-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE ADVANTAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-772-2390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.