Active NPI
Precious Adult Care Inc.
- Home Health Agency
- Winnsboro, SC
National Provider Identifier
1568814689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- IHCP-0207
- Legal business name
- PRECIOUS ADULT CARE INC.
- Practice address
- 121 Fagan Rd
Winnsboro, SC 29180-9584 - Phone
- (803) 635-3755
- NPI assigned
- Jul 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon Johnson Bates
- Title
- Business Manager
- Phone
- (803) 635-3755
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IHCP-0207 | SC | Primary |
| Nursing Care Agency | 251J00000X | ADC-0173 | SC | |
| Adult Day Care Clinic/Center | 261QA0600X |
Addresses
Primary practice location
121 Fagan Rd
Winnsboro, SC 29180-9584
Mailing address
121 Fagan Rd
Winnsboro, SC 29180-9584
Phone (803) 635-3755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0556 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
121 Fagan Rd
Winnsboro, SC 29180
Phone (803) 635-3755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670544000000",
"number": "1568814689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 FAGAN RD",
"city": "WINNSBORO",
"state": "SC",
"postal_code": "291809584",
"telephone_number": "803-635-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 FAGAN RD",
"city": "WINNSBORO",
"state": "SC",
"postal_code": "291809584",
"telephone_number": "803-635-3755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS ADULT CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-13",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "803-635-3755",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": "IHCP-0207",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "SC",
"license": "ADC-0173",
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0556",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winnsboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.