Organization Active NPI

Lucky Dove Home Care LLC

  • In Home Supportive Care Agency
  • Mount Pleasant, SC
National Provider Identifier
1477254274
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LUCKY DOVE HOME CARE LLC
Practice address
1240 Winnowing Way Unit 102
Mt Pleasant, SC 29466-7531
Phone
(843) 800-8189
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Jimmie Callum
Title
Owner
Phone
(843) 800-8189

Specialties & licenses 1

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

Addresses

Primary practice location

1240 Winnowing Way Unit 102
Mt Pleasant, SC 29466-7531

Mailing address

1240 Winnowing Way Unit 102
Mt Pleasant, SC 29466-7531

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1477254274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 WINNOWING WAY UNIT 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 WINNOWING WAY UNIT 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667531",
            "telephone_number": "843-800-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY DOVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-800-8189"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.