Organization Active NPI

Impressive Homecare Services LLC

  • In Home Supportive Care Agency
  • Greenville, SC
National Provider Identifier
1376118513
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.