Helen Melette Pendarvis

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IHCO-1222 Issued in SC

Practice address

128 Millport Cir Ste 200
Greenville, SC 29607-5573

Phone

(864) 315-1762

NPI assigned

Jun 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Simple Brands LLC

  dba Simply Love Home Care Services

  • Home Health Agency
  • Greenville, SC
  • NPI 1497363139
  NPD Authorized official

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1376160143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MILLPORT CIR STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075573",
            "telephone_number": "864-315-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MILLPORT CIR STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075573",
            "telephone_number": "864-315-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDARVIS",
        "first_name": "HELEN",
        "middle_name": "MELETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCO-1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DHEC",
            "identifier": "IHCP-1222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Leo Pena Jr.
• Roque Abel Penaloza, DDS
• David Condon Pence
• Jennifer Pence
• Jennifer Tippett Pence, RN
• Pendleton Place Inc
• Brandon James Penland, PHARMD
• Casey Penland, PHARMD
• Cindy Lynn Penn, LMFT
• Edward Benjamin Penn Jr., MD

• Home Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.