Organization Active NPI

Palmetto Home Care Upstate, LLC

  • Home Health Agency
  • Greenville, SC
National Provider Identifier
1609055037
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PALMETTO HOME CARE UPSTATE, LLC
Practice address
1990 Augusta St
Suite 204
Greenville, SC 29605-2997
Phone
(864) 272-1973
Fax
(864) 272-1974
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mr. Victor Austin Jr.
Title
President/Owner
Phone
(864) 272-1973

Specialties & licenses 1

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

Addresses

Primary practice location

1990 Augusta St
Suite 204
Greenville, SC 29605-2997

Mailing address

1990 Augusta St
Suite 204
Greenville, SC 29605-2997
Phone (864) 272-1973

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1609055037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 AUGUSTA ST",
            "address_2": "SUITE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052997",
            "telephone_number": "864-272-1973",
            "fax_number": "864-272-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 AUGUSTA ST",
            "address_2": "SUITE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052997",
            "telephone_number": "864-272-1973",
            "fax_number": "864-272-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HOME CARE UPSTATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "864-272-1973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.