Palmetto Home Care Service, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

26552 Issued in SC

Legal business name

PALMETTO HOME CARE SERVICE, LLC

Practice address

134 Border Ave
Simpsonville, SC 29680-7388

Phone

(864) 438-0560

Fax

(864) 228-7799

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Brandi Hall, LPN

Title

Owner

Phone

(864) 962-3085

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1376020669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 NE MAIN ST STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812056",
            "telephone_number": "864-962-3085",
            "fax_number": "865-962-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BORDER AVE",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807388",
            "telephone_number": "864-438-0560",
            "fax_number": "864-228-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HOME CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-962-3085",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "26552",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1743",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Shaw Pageau, DMD
• Cindy Painter, LPC
• Hayley Ulmer Painter, NP
• Sara Palmer, RD, IBCLC
• Palmetto Health (The Pastoral Counseling Center of Simpsonville)
• Palmetto Nutrition Consultants
• Palmetto Prosthodontics, LLC
• Bobby Papariella
• Park Medical, LLC
• Julie U. Park, M.D.

• In Home Supportive Care Agency in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.