Organization Active NPI

Carolina Nursing Associates

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1366085714
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAROLINA NURSING ASSOCIATES
Practice address
880 S Pleasantburg Dr Ste 2E
Greenville, SC 29607-2451
Phone
(864) 370-7200
Fax
(864) 370-7201
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Mrs. Dannah Mitchell Farr, RNNPI 1245323484
Title
Owner
Phone
(864) 631-5200

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 Primary

Addresses

Primary practice location

880 S Pleasantburg Dr Ste 2E
Greenville, SC 29607-2451

Mailing address

880 S Pleasantburg Dr Ste 2E
Greenville, SC 29607-2451
Phone (864) 370-7200

Other identifiers 2

IdentifierTypeStateIssuer
EX0801MedicaidSC
IHCP-0086OtherSCDHEC

Other names 1

  • CAROLINA NURSING ASSOCIATES Former legal business name

National Provider Directory

National Provider Directory

Locations

880 S Pleasantburg Dr
Ste 2E
Greenville, SC 29607
Phone (864) 370-7200

Practitioners & affiliated clinicians

Practitioners 1

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": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1366085714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S PLEASANTBURG DR STE 2E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072451",
            "telephone_number": "864-370-7200",
            "fax_number": "864-370-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S PLEASANTBURG DR STE 2E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072451",
            "telephone_number": "864-370-7200",
            "fax_number": "864-370-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NURSING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "DANNAH",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-631-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0801",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "IHCP-0086",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA NURSING ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.