Organization Active NPI

Empowered Personal Care Home Health Alliance Inc

Doing business as Northwoods Senior Living and Memory Care

  • Respite Care
  • Sumter, SC
National Provider Identifier
1659734432
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
CRC1442 Issued in SC
Legal business name
EMPOWERED PERSONAL CARE HOME HEALTH ALLIANCE INC
Doing business as
Northwoods Senior Living and Memory Care
Practice address
1267 N Main St
Sumter, SC 29153-2138
Phone
(803) 774-5700
Fax
(803) 774-5705
NPI assigned
Mar 30, 2016
Organization subpart
Yes
Parent organization
EMPOWERED PERSONAL CARE HOME HEALTH ALLIANCE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mrs. Rhonda Bailey Barrineau
Title
Cfo
Phone
(803) 774-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X CRC1442 SC Primary

Addresses

Primary practice location

1267 N Main St
Sumter, SC 29153-2138

Mailing address

1267 N Main St
Sumter, SC 29153-2138
Phone (803) 774-5700

Other identifiers 1

IdentifierTypeStateIssuer
RC1442MedicaidSC

Other names 1

  • Northwoods Senior Living and Memory Care Doing business as

National Provider Directory

National Provider Directory
Part of
Empowered Personal Care Home Health Alliance Inc

Locations

1267 N Main St
Sumter, SC 29153
Phone (803) 774-5700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1659734432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 N MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291532138",
            "telephone_number": "803-774-5700",
            "fax_number": "803-774-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 N MAIN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291532138",
            "telephone_number": "803-774-5700",
            "fax_number": "803-774-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED PERSONAL CARE HOME HEALTH ALLIANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPOWERED PERSONAL CARE HOME HEALTH ALLIANCE INC",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "BARRINEAU",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-774-5700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "SC",
            "license": "CRC1442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC1442",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Senior Living and Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.