Lashaundra Gardner

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

625 Jamestown Ave
Darlington, SC 29532-3524

Phone

(334) 324-7443

NPI assigned

Jan 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Living Good, LLC

  • In Home Supportive Care Agency
  • Darlington, SC
  • NPI 1366030231

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1568050433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6874 FERNCREEK PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JAMESTOWN AVE",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323524",
            "telephone_number": "334-324-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LASHAUNDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forma Medical Solutions LLC
• Forma Medical Solutions LLC
• Free Medical Clinic of Darlington County
• Freshstart Medical Management Inc.
• Dharaben Gajjar, DDS
• Gwendolyn Jett Gattison
• Latifah Gattison
• Trevonda Gee
• Genesis Healthcare, Inc
• Genesis Healthcare, Inc

• All providers in Darlington, SC
• Adult Companion in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.