Larry Timmons

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CRC2232 Issued in SC

Practice address

1312 W Evans St
Florence, SC 29501-3324

Phone

(843) 667-6636

NPI assigned

Feb 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1679272140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 ERVIN THOMAS RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295413957",
            "telephone_number": "843-319-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013324",
            "telephone_number": "843-667-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC2232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Robert Thurman, D.O
• Sydney Tibbs, MBA-HEM, RDN, LD
• Katherina Yannue Tillan-Hsia, MD
• Anzia Timmons Wallace, STUDENT COUNSELOR
• Chappel Tenille Timmons
• Lindsey Michelle Timmons, FNP
• Nelly Timmons, PTA
• Reghan Teressa Timmons
• Shaquita Timmons, CNA
• Tiny Steps Foundation

• Assisted Living Facility in Florence, SC
• Providers in Florence, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.