Active NPI
Open Healthcare Skill Nursing
- Home Health Agency
- Lake City, SC
National Provider Identifier
1619715422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OPEN HEALTHCARE SKILL NURSING
- Practice address
- 121 S Acline St
Lake City, SC 29560-2632 - Phone
- (843) 699-9318
- NPI assigned
- Jul 16, 2024
- 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
- Andrea Graham
- Title
- Director
- Phone
- (843) 939-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
121 S Acline St
Lake City, SC 29560-2632
Mailing address
121 S Acline St
Lake City, SC 29560-2632
Phone (843) 699-9318
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1619715422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S ACLINE ST",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602632",
"telephone_number": "843-699-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S ACLINE ST",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602632",
"telephone_number": "843-699-9318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN HEALTHCARE SKILL NURSING",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-16",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "843-939-0810"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.