Active NPI
Prestige Home Support
- Nursing Care Agency
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0574 | Medicaid | SC | |
| DE2391 | Other | SC | MEDICAID DME |
National Provider Directory
National Provider Directory- Tax ID family
- Almeda Myers Graham
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Prestige Home Support
- Durable Medical Equipment & Medical Supplies
- Florence, SC
- NPI 1750534830
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.
-
- Family Nurse Practitioner
- Hartsville, SC
- NPI 1144279365
Durable Medical Equipment & Medical Supplies
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.