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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- CRC1442
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC1442 | Medicaid | SC |
Other names 1
- Northwoods Senior Living and Memory Care
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.
-
- Optometrist
- Columbia, SC
- NPI 1417153644
-
- Optometrist
- Stevensville, MI
- NPI 1457670846
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.