Active NPI
Stephanie Evans
- General Care Certified Respiratory Therapist
- Greenville, SC
National Provider Identifier
1376140939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Certified Respiratory Therapist
- License
- IHCP-1267
- Practice address
- 2320 E North St
Greenville, SC 29607-1247 - Phone
- (864) 344-6221
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Certified Respiratory Therapist | 2278G1100X | IHCP-1267 | SC | Primary |
Addresses
Primary practice location
2320 E North St
Greenville, SC 29607-1247
Mailing address
300 Yukon Dr
Greenville, SC 29605-6094
Phone (864) 344-6221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-0958583 | Other | SC | HOME CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sevans@elizabethhomecareservicesllc.com | Other | |
| Direct Messaging Address | sevans@elizabethhomecareservicesllc.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IHCP-1267 | SC | MD | General Care Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Home Care Services LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Greenville, SC
- NPI 1700646429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1376140939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 YUKON DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296056094",
"telephone_number": "864-344-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 E NORTH ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071247",
"telephone_number": "864-344-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2278G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, General Care",
"state": "SC",
"license": "IHCP-1267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE",
"identifier": "85-0958583",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sevans@elizabethhomecareservicesllc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "300 Yukon Dr",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296056094",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sevans@elizabethhomecareservicesllc.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "general",
"address_1": "300 Yukon Dr",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296056094",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 7, 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.