Quanita Montgomery Clyburn

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1356 Flat Creek Rd
Lancaster, SC 29720-7689

Phone

(803) 246-8419

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• QMC Loving in-Home Care Agency, LLC

  • In Home Supportive Care Agency
  • Lancaster, SC
  • NPI 1679389803
  NPD Authorized official
• QMC Loving in-Home Care Agency, LLC

  • In Home Supportive Care Agency
  • Lancaster, SC
  • NPI 1881410355
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1558198580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 DUCKWOOD RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207402",
            "telephone_number": "803-246-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 FLAT CREEK RD",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207689",
            "telephone_number": "803-246-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYBURN",
        "first_name": "QUANITA",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vimal B Choudhari, MD
• Gizem Cifci, MD
• Mark Anthony Ciminelli, M.D., F.A.C.C.
• Sarah Baucom Clanton, MA, LPC-A
• Abigale Clapham, MS RD LD
• Melissa D Cocho-Tanner, OT
• Mark Sterlyn Coe, PH.D.
• Shameka Coleman
• Commonground Counseling and Life Coaching
• Communities in Schools

• Home Health Aide in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.