NPIMap

Organization Active NPI

Pouring 4 Purpose, LLC

  • Non-emergency Medical Transport (VAN)
  • Hartsville, SC
National Provider Identifier
1508300773
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
POURING 4 PURPOSE, LLC
Practice address
1416 Bethlehem Rd
Hartsville, SC 29550-1716
Phone
(843) 250-6679
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Nicole Drake
Title
Director
Phone
(843) 250-6679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1416 Bethlehem Rd
Hartsville, SC 29550-1716

Mailing address

1416 Bethlehem Rd
Hartsville, SC 29550-1716
Phone (843) 250-6679

National Provider Directory

National Provider Directory
Tax ID family
Pouring 4 Purpose LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1508300773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BETHLEHEM RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501716",
            "telephone_number": "843-250-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 BETHLEHEM RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501716",
            "telephone_number": "843-250-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURING 4 PURPOSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-250-6679"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.