Active NPI
David Grove
- Home Modifications Contractor
- Tega Cay, SC
National Provider Identifier
1477858496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 1714 Lakeland TRL
Tega Cay, SC 29708-8378 - Phone
- (803) 517-7909
- NPI assigned
- Jan 23, 2011
- Last updated
- Jan 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | NU | Primary |
Addresses
Primary practice location
1714 Lakeland TRL
Tega Cay, SC 29708-8378
Mailing address
1714 Lakeland TRL
Tega Cay, SC 29708-8378
Phone (803) 517-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295740800000",
"number": "1477858496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 LAKELAND TRL",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297088378",
"telephone_number": "803-517-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 LAKELAND TRL",
"city": "TEGA CAY",
"state": "SC",
"postal_code": "297088378",
"telephone_number": "803-517-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-23",
"last_updated": "2011-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tega Cay, SC
- Madison Benfield Foti, SLP
- Alexia Galakatos, M.A.,CCC-SLP
- Chloe Jeannine Gonzalez, OTR/L
- Yolanda McCloud Gordon, COTA/L
- Paulina Graham
- Kathryn S Hagler, LCMHC
- Tonya P. Harmon, M.A, CCC-SLP
- Harmony Home Caregivers, LLC
- Harmony Oral and Facial Surgery LLC (Harmony Oral and Facial Surgery)
- Leslie Hilton, LDO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.