NPIMap

Organization Active NPI

Quality Autism Care

  • In Home Supportive Care Agency
  • Inman, SC
National Provider Identifier
1356863229
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1-15-21097 Issued in SC
Legal business name
QUALITY AUTISM CARE
Practice address
123 Dunnsmore Dr
Inman, SC 29349-7210
Phone
(864) 490-1668
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lisa Bratton Gault, MMFT, BCBANPI 1093174096
Title
Owner
Phone
(864) 490-1668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1-15-21097 SC Primary

Addresses

Primary practice location

123 Dunnsmore Dr
Inman, SC 29349-7210

Mailing address

123 Dunnsmore Dr
Inman, SC 29349-7210
Phone (864) 490-1668

Other identifiers 3

IdentifierTypeStateIssuer
13945091OtherCAQH
BA1026MedicaidSC
1093174096OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356863229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DUNNSMORE DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293497210",
            "telephone_number": "864-490-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DUNNSMORE DR",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293497210",
            "telephone_number": "864-490-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY AUTISM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAULT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BRATTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-490-1668",
        "authorized_official_credential": "MMFT, BCBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "1-15-21097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13945091",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BA1026",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1093174096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.