Organization Active NPI

Prestige Home Support

  • Nursing Care Agency
  • Florence, SC
National Provider Identifier
1487831194
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PRESTIGE HOME SUPPORT
Practice address
1922 E McIver Rd
Florence, SC 29501-9640
Phone
(843) 669-4664
Fax
(843) 669-9229
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Almeda Myers Graham, R.N. B.S.N.NPI 1144279365
Title
Owner
Phone
(843) 669-4664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1922 E McIver Rd
Florence, SC 29501-9640

Mailing address

1922 E McIver Rd
Florence, SC 29501-9640
Phone (843) 669-4664

Other identifiers 2

IdentifierTypeStateIssuer
EX0574MedicaidSC
DE2391OtherSCMEDICAID DME

National Provider Directory

National Provider Directory
Tax ID family
Almeda Myers Graham2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1922 E McIver Rd
Florence, SC 29501
Phone (843) 669-4664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1487831194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 E MCIVER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295019640",
            "telephone_number": "843-669-4664",
            "fax_number": "843-669-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 E MCIVER RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295019640",
            "telephone_number": "843-669-4664",
            "fax_number": "843-669-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HOME SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ALMEDA",
        "authorized_official_middle_name": "MYERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-669-4664",
        "authorized_official_credential": "R.N. B.S.N."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0574",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "DE2391",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.