Michelle Mode LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MICHELLE MODE LLC

Practice address

410 Law St
Bishopville, SC 29010-1030

Phone

(843) 603-3236

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Tieasha Atkinson

Title

Owner

Phone

(803) 236-1539

Specialties & licenses 1

Addresses

Other names 1

• Pee Dee Care Services Doing business as

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1386290336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAW ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101030",
            "telephone_number": "803-236-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAW ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101030",
            "telephone_number": "843-603-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MODE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "TIEASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-236-1539",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pee Dee Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Bishopville, SC
• Providers in Bishopville, 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 Aug 15, 2019; 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.