Individual provider Active NPI

Gregory Joseph

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1356011837
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
EY1059 Issued in SC
Practice address
454 Anderson Rd S
Rock Hill, SC 29730-3392
Phone
(803) 230-2415
Fax
(803) 701-9131
NPI assigned
Sep 16, 2021
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHCP-1558 SC
Nursing Care Agency 251J00000X IHCP-1558 SC
Adult Companion 372600000X IHCP-1558 SC
Respite Care 385H00000X IHCP-1558 SC
In Home Supportive Care Agency 253Z00000X EY1059 SC Primary

Addresses

Primary practice location

454 Anderson Rd S
Rock Hill, SC 29730-3392

Mailing address

454 Anderson Rd S
Rock Hill, SC 29730-3392
Phone (803) 230-2415

Other identifiers 2

IdentifierTypeStateIssuer
EY1059MedicaidSC
IHCP-1558MedicaidSC

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

LicenseStateTypeSpecialty
EY1059SCMDIn Home Supportive Care Agency
IHCP-1558SCMDRespite Care

Practice roles

OrganizationSpecialtyStatusNew patients
Ensure Home Care of South Carolina Home Health CurrentSince Sep 1, 2021 Accepting new patients
Optimum Healthcare, Inc. Home Health Current Accepting new patients
Healthcare Unlimited of Florida, Inc Home Health Current Accepting new patients

Locations

1565 Ebenezer Rd
Ste 140
Rock Hill, SC 29732
Phone (803) 504-1747

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1356011837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "803-230-2415",
            "fax_number": "803-701-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "803-230-2415",
            "fax_number": "803-701-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-1558",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "IHCP-1558",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "SC",
            "license": "IHCP-1558",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "SC",
            "license": "IHCP-1558",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "EY1059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EY1059",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IHCP-1558",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.