Organization Active NPI

Compassionate Care at Home, LLC

  • In Home Supportive Care Agency
  • Florence, SC
National Provider Identifier
1417501735
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMPASSIONATE CARE AT HOME, LLC
Practice address
1439 Golf Terrace Blvd Apt B
Florence, SC 29501-6499
Phone
(843) 598-0724
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Brittany Nichole Fullard
Title
Owner
Phone
(843) 598-0724

Specialties & licenses 1

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

Addresses

Primary practice location

1439 Golf Terrace Blvd Apt B
Florence, SC 29501-6499

Mailing address

1439 Golf Terrace Blvd Apt B
Florence, SC 29501-6499
Phone (843) 598-0724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1417501735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 GOLF TERRACE BLVD APT B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016499",
            "telephone_number": "843-598-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 GOLF TERRACE BLVD APT B",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016499",
            "telephone_number": "843-598-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "FULLARD",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-598-0724"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.