Organization Active NPI

Premier Home Healthcare of SC LLC

Doing business as Boost Home Healthcare - Rock Hill

  • Home Health Agency
  • Indian Land, SC
National Provider Identifier
1639039696
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PREMIER HOME HEALTHCARE OF SC LLC
Doing business as
Boost Home Healthcare - Rock Hill
Practice address
1040 Edgewater Corporate Pkwy Ste 10
Indian Land, SC 29707-4514
Phone
(704) 290-4263
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Megha Shah
Title
Owner
Phone
(704) 290-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1040 Edgewater Corporate Pkwy Ste 10
Indian Land, SC 29707-4514

Mailing address

1040 Edgewater Corporate Pkwy Ste 10
Indian Land, SC 29707-4514

Other names 1

  • Boost Home Healthcare - Rock Hill Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2333991Boost Home Healthcare- Rock Hill1040 Edgewater Corporate Pkwy, Suite 10, Indian Land, SC 29707Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Locations

1040 Edgewater Corporate Pkwy
Ste 10
Indian Land, SC 29707
Phone (704) 290-4263

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1639039696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 10",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 10",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074514",
            "telephone_number": "704-290-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTHCARE OF SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEGHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-290-4263"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boost Home Healthcare - Rock Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.