NPIMap

Organization Active NPI

PH Healthcare Services, Inc.

  • In Home Supportive Care Agency
  • Easley, SC
National Provider Identifier
1427475292
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PH HEALTHCARE SERVICES, INC.
Practice address
4741 Highway 153 Ste B
Easley, SC 29642-9161
Phone
(864) 991-8414
Fax
(964) 991-8404
NPI assigned
Mar 18, 2014
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Ms. Jill D Birmingham, BSW, LNHA
Title
Ceo
Phone
(864) 991-8414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

4741 Highway 153 Ste B
Easley, SC 29642-9161

Mailing address

4741 Highway 153 Ste B
Easley, SC 29642-9161
Phone (864) 991-8414

Other identifiers 1

IdentifierTypeStateIssuer
HSP134MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722002387 SC Part B Supplier - Clinic/Group Practice 2163683012 Receives reassigned benefits from 21 practitioners
Practice locations: Conway, SC; Easley, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
PH Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3079 Highway 701 N
Ste E
Conway, SC 29526
Phone (843) 779-9505

887 Johnnie Dodds Blvd
Ste 215216
Mount Pleasant, SC 29464
Phone (864) 991-8414

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1427475292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 HIGHWAY 153 STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429161",
            "telephone_number": "864-991-8414",
            "fax_number": "964-991-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 HIGHWAY 153 STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429161",
            "telephone_number": "864-991-8414",
            "fax_number": "964-991-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-991-8414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSW, LNHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP134",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.