Organization Active NPI

Homecare Nurses, LLC

  • Home Health Agency
  • Mullins, SC
National Provider Identifier
1548611882
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHCP-0154 Issued in SC
Legal business name
HOMECARE NURSES, LLC
Practice address
3630 E Highway 76
Mullins, SC 29574-6510
Phone
(843) 536-0272
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Calvin Gibbs
Title
Director
Phone
(843) 536-0272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHCP-0154 SC Primary

Addresses

Primary practice location

3630 E Highway 76
Mullins, SC 29574-6510

Mailing address

3630 E Highway 76
Mullins, SC 29574-6510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1548611882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746510",
            "telephone_number": "843-536-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE NURSES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-536-0272"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-0154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.