Active NPI
Paula Thomas
- In Home Supportive Care Agency
- Darlington, SC
National Provider Identifier
1558808782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHCP0672
- Practice address
- 1408 Tiffany LN
Darlington, SC 29532-7710 - Phone
- (704) 277-3839
- NPI assigned
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | IHCP0672 | SC | |
| In Home Supportive Care Agency | 253Z00000X | IHCP0672 | SC | Primary |
Addresses
Primary practice location
1408 Tiffany LN
Darlington, SC 29532-7710
Mailing address
407 Clairview LN
Matthews, NC 28105-0208
Phone (704) 277-3839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IHCP0672 | SC | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1558808782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 CLAIRVIEW LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050208",
"telephone_number": "704-277-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 TIFFANY LN",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295327710",
"telephone_number": "704-277-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PAULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "SC",
"license": "IHCP0672",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "SC",
"license": "IHCP0672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darlington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.