Active NPI
Impressive Homecare Services LLC
- In Home Supportive Care Agency
- Greenville, SC
National Provider Identifier
1376118513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IMPRESSIVE HOMECARE SERVICES LLC
- Practice address
- 1 Chick Springs Rd Ste 116a
Greenville, SC 29609-4953 - Phone
- (864) 326-3573
- NPI assigned
- May 20, 2021
- Last updated
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deonte' Gist
- Title
- Owner
- Phone
- (864) 326-3573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1 Chick Springs Rd Ste 116a
Greenville, SC 29609-4953
Mailing address
1 Chick Springs Rd Ste 116a
Greenville, SC 29609-4953
Phone (864) 326-3573
National Provider Directory
National Provider DirectoryLocations
1 Chick Springs Rd
Ste 116A
Greenville, SC 29609
Phone (864) 326-3573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1376118513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHICK SPRINGS RD STE 116A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296094953",
"telephone_number": "864-326-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHICK SPRINGS RD STE 116A",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296094953",
"telephone_number": "864-326-3573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPRESSIVE HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "GIST",
"authorized_official_first_name": "DEONTE'",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-326-3573"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.