Organization Active NPI

In Home Care Services

  • In Home Supportive Care Agency
  • Blackville, SC
National Provider Identifier
1447624648
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IN HOME CARE SERVICES
Doing business as
in home care services
Practice address
1051 Sunshine Rd
Blackville, SC 29817-3405
Phone
(803) 682-3977
NPI assigned
Nov 25, 2015
Last updated
Nov 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Crystal Creech
Title
Owner
Phone
(803) 682-3977

Specialties & licenses 1

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

Addresses

Primary practice location

1051 Sunshine Rd
Blackville, SC 29817-3405

Mailing address

132 Bentgrass LN
Gaston, SC 29053-8458

Other names 1

  • in home care services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1447624648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BENTGRASS LN",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SUNSHINE RD",
            "city": "BLACKVILLE",
            "state": "SC",
            "postal_code": "298173405",
            "telephone_number": "803-682-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-682-3977"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "in home care services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.