NPIMap

Organization Active NPI

Original Life Home Care Agency

  • In Home Supportive Care Agency
  • Winnsboro, SC
National Provider Identifier
1346547973
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
8005 Issued in SC
Legal business name
ORIGINAL LIFE HOME CARE AGENCY
Practice address
27 Spinnaker Dr
Winnsboro, SC 29180-7210
Phone
(803) 718-5682
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Tabitha Joanna Williams
Title
Owner/Operator
Phone
(803) 718-5682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 8005 SC Primary

Addresses

Primary practice location

27 Spinnaker Dr
Winnsboro, SC 29180-7210

Mailing address

27 Spinnaker Lane
Winnsboro, SC 29180-7210
Phone (803) 718-5682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1346547973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SPINNAKER LANE",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807210",
            "telephone_number": "803-718-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SPINNAKER DR",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807210",
            "telephone_number": "803-718-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINAL LIFE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "803-718-5682"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.