At Home Professional Care of SC LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AT HOME PROFESSIONAL CARE OF SC LLC

Practice address

1 Chick Springs Rd Ste 102a
Greenville, SC 29609-4946

Phone

(864) 631-1733

Fax

(864) 451-7227

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Aubrey Atalia Jackson, BA

Title

Ceo

Phone

(864) 631-1733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1487219812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 102A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094946",
            "telephone_number": "864-631-1733",
            "fax_number": "864-451-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 102A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094946",
            "telephone_number": "864-631-1733",
            "fax_number": "864-451-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PROFESSIONAL CARE OF SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "ATALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-631-1733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251E00000X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.