Individual provider Active NPI

Tara R Williams

  • Home Delivered Meals
  • Dillon, SC
National Provider Identifier
1356138408
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
IHP-2232 Issued in SC
Practice address
110 N Macarthur Ave Ste B
Dillon, SC 29536-3434
Phone
(843) 506-6574
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X
Home Delivered Meals 332U00000X IHP-2232 SC Primary

Addresses

Primary practice location

110 N Macarthur Ave Ste B
Dillon, SC 29536-3434

Mailing address

110 N Macarthur Ave Ste B
Dillon, SC 29536-3434
Phone (843) 506-6574

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
IHP-2232SCMDHome Delivered Meals

Practice roles

OrganizationSpecialtyStatusNew patients
LDB Home Healthcare Services LLC Home Delivered Meals CurrentSince Jul 13, 2025 Accepting new patients
LDB Home Healthcare Services LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

110 N MacArthur Ave
Ste B
Dillon, SC 29536
Phone (843) 506-6574

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1356138408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MACARTHUR AVE STE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363434",
            "telephone_number": "843-506-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MACARTHUR AVE STE B",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363434",
            "telephone_number": "843-506-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARA",
        "middle_name": "R",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "SC",
            "license": "IHP-2232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.