South Carolina Home Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SOUTH CAROLINA HOME SERVICES LLC

Doing business as

Interm Healthcare Myrtle Beach

Practice address

1297 Professional Dr Ste 201-C3
Myrtle Beach, SC 29577-5713

Phone

(843) 274-5799

NPI assigned

Oct 5, 2015

Organization subpart

Yes

Parent organization

DECIATED HOME SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. William Bogage

Title

President

Phone

(704) 658-0555

Specialties & licenses 1

Addresses

Other names 1

• Interm Healthcare Myrtle Beach Doing business as

Part of

Dedicated Home Services Inc

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1366812265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 PROFESSIONAL DR STE 201-C3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775713",
            "telephone_number": "843-274-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 PROFESSIONAL DR STE 201-C3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775713",
            "telephone_number": "843-274-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA HOME SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECIATED HOME SERVICES",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BOGAGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-658-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interm Healthcare Myrtle Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.