Organization Active NPI

Judah Care Provider LLC

  • In Home Supportive Care Agency
  • Columbia, SC
National Provider Identifier
1407788847
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JUDAH CARE PROVIDER LLC
Practice address
100 Ashland Park LN Ste B-2
Columbia, SC 29210-5100
Phone
(839) 250-7377
NPI assigned
Jun 1, 2026
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Lateya Daisy SmithNPI 1295382109
Title
Owner
Phone
(839) 250-7377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

100 Ashland Park LN Ste B-2
Columbia, SC 29210-5100

Mailing address

100 Ashland Park LN Ste B
Columbia, SC 29210-5100
Phone (839) 250-7377

National Provider Directory

National Provider Directory

Locations

100 Ashland Park Ln
Ste B
Columbia, SC 29210
Phone (803) 233-7554

100 Ashland Park Ln
Ste B2
Columbia, SC 29210
Phone (839) 250-7377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1407788847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ASHLAND PARK LN STE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105100",
            "telephone_number": "839-250-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASHLAND PARK LN STE B-2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105100",
            "telephone_number": "839-250-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDAH CARE PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LATEYA",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "839-250-7377"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.