Individual provider Active NPI

Shiandra Keyata Davis

  • Home Health Aide
  • Florence, SC
National Provider Identifier
1366004319
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4201 S Irby St Lot 14
Florence, SC 29505-5311
Phone
(843) 373-8284
NPI assigned
Jun 30, 2019
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

4201 S Irby St Lot 14
Florence, SC 29505-5311

Mailing address

4201 S Irby St Lot 14
Florence, SC 29505-5311
Phone (843) 373-8284

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Camelliahomecare@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camellia's Home Care Current Accepting new patients
Vibrant Diagnostics LLC Current Accepting new patients

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, 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": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1366004319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S IRBY ST LOT 14",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055311",
            "telephone_number": "843-373-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S IRBY ST LOT 14",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055311",
            "telephone_number": "843-373-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHIANDRA",
        "middle_name": "KEYATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Camelliahomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4201 S Irby St Lot 14",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295055311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.