Ekklesia Home Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

EKKLESIA HOME CARE LLC

Practice address

3262 Landmark Dr Ste 127
North Charleston, SC 29418-8588

Phone

(843) 225-2634

Fax

(843) 225-2635

NPI assigned

Nov 5, 2018

Last updated

Nov 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jamella Susan Grant

Title

Owner

Phone

(843) 818-9240

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1487122768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 LANDMARK DR STE 127",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188588",
            "telephone_number": "843-225-2634",
            "fax_number": "843-225-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 LANDMARK DR STE 127",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188588",
            "telephone_number": "843-225-2634",
            "fax_number": "843-225-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3262 Landmark Dr Ste 127",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294188588",
            "country_code": "US",
            "telephone_number": "843-225-2634",
            "fax_number": "843-225-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EKKLESIA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JAMELLA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-818-9240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Ellis

• Nursing Care Agency in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Nursing Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.