Nix Justine Gracie Corp,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

IHCP0576 Issued in SC

Legal business name

NIX JUSTINE GRACIE CORP,

Doing business as

DBA Comfort Keepers 988

Practice address

1710 Old Trolley Rd
Suite D
Summerville, SC 29485-8281

Phone

(843) 576-3035

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Lee Nix, CSA

Title

Administrator/President

Phone

(843) 576-3035

Specialties & licenses 1

Addresses

Other names 1

• DBA Comfort Keepers 988 Doing business as

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1619428448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 OLD TROLLEY RD",
            "address_2": "SUITE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858281",
            "telephone_number": "843-576-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 OLD TROLLEY RD",
            "address_2": "SUITE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858281",
            "telephone_number": "843-576-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIX JUSTINE GRACIE CORP,",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "843-576-3035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP0576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Comfort Keepers 988",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Nichols, PA-C
• Suzanne Michele Nicklas, IBCLC
• Daria Lauren Nicolaro
• Gregory W Niemer, M.D.
• Rachel Marie Nienaber, PA
• Robert Manning Nix, M.ED.
• Tim Nix, M.A., LPC
• Taylor Sanaa Nixon
• Amanda Michelle Noel, PHARMD
• Morgan Noonan, CCC-SLP

• Home Health Agency in Summerville, SC
• Providers in Summerville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.