Organization Active NPI

Prime Home Care Service

  • In Home Supportive Care Agency
  • Simpsonville, SC
National Provider Identifier
1437657285
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
ICHP-0811 Issued in SC
Legal business name
PRIME HOME CARE SERVICE
Practice address
105 Arbordale LN
Simpsonville, SC 29680-6768
Phone
(864) 967-3251
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Mrs. Charita R Dendy
Title
Owner
Phone
(864) 967-3251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X ICHP-0811 SC Primary

Addresses

Primary practice location

105 Arbordale LN
Simpsonville, SC 29680-6768

Mailing address

105 Arbordale LN
Simpsonville, SC 29680-6768
Phone (864) 967-3251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1437657285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARBORDALE LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806768",
            "telephone_number": "864-967-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARBORDALE LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806768",
            "telephone_number": "864-967-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "DENDY",
        "authorized_official_first_name": "CHARITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-967-3251",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "ICHP-0811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.