Destine to Define Homecare Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DESTINE TO DEFINE HOMECARE AGENCY, LLC

Practice address

969 Dantzler St
Orangeburg, SC 29115-4321

Phone

(803) 387-2273

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Miss Tracy FloodNPI 1750861571

Title

Owner/Director

Phone

(803) 347-3930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracy Flood

  • In Home Supportive Care Agency
  • Orangeburg, SC
  • NPI 1750861571
  NPD Authorized official

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1689147530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 KENNERLY RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291189156",
            "telephone_number": "803-347-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154321",
            "telephone_number": "803-387-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINE TO DEFINE HOMECARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "803-347-3930",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome B Degen, MD
• Gary A Delaney, M.D.
• Dennis J Shay DC PA (Marsch Chiropractic Clinic)
• Michael Warren Dennis, LPC
• Dental Wellness Center of Orangeburg, LLC
• Zachary Detsch, DPT
• Gurinder Dhanju, M.D.
• Dialectical Behavioral Health Services LLC
• Dickerson Investments LLC (Medicap Pharmacy)
• Zarquita Dickson

• In Home Supportive Care Agency in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.