Ervena Washington, PCA
Individual provider Active NPI Home Health Aide · Ridgeville, SC
NPI 1366829368 · NPPES record last updated Apr 29, 2015
Key facts
- NPI
- 1366829368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 177 Queen Dr
Ridgeville, SC 29472-8427 - Phone
- (843) 376-1037
- NPI assigned
- Apr 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | SC | Yes |
Addresses
Primary practice location
177 Queen Dr
Ridgeville, SC 29472-8427
Mailing address
PO Box 973
Ridgeville, SC 29472-0973
Phone (843) 376-1037
Other providers in Ridgeville, SC
- S&G Smiles Ride Service LLC
- Nefateri Smalls
- Lashonda Yvette Smith
- Kimberly Dawn Stoneburner
- Tanyetta Felder Thompson
All providers in Ridgeville, SC · Home Health Aide in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.