Active NPI
Homecare Advantage, Inc
- Home Health Agency
- Columbia, SC
National Provider Identifier
1346276474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.