Active NPI
Mary Louise Brown
- Home Health Aide
- Barnwell, SC
National Provider Identifier
1639687544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- IHCP0750
- Practice address
- 149 Charles St
Barnwell, SC 29812-1674 - Phone
- (803) 842-9009
- Fax
- (803) 621-2565
- NPI assigned
- Jan 12, 2018
- Last updated
- Jan 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | IHCP0750 | SC | Primary |
Addresses
Primary practice location
149 Charles St
Barnwell, SC 29812-1674
Mailing address
149 Charles St
Barnwell, SC 29812-1674
Phone (803) 842-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IHCP0750 | SC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just for You Home Care Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Barnwell, SC
- NPI 1982106274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1639687544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 CHARLES ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121674",
"telephone_number": "803-842-9009",
"fax_number": "803-621-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 CHARLES ST",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121674",
"telephone_number": "803-842-9009",
"fax_number": "803-621-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARY",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "IHCP0750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barnwell, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.