NPIMap

Organization Active NPI

State of South Carolina

Doing business as SC DHEC Midlands Home Health Services

  • Home Health Agency
  • Newberry, SC
National Provider Identifier
1689697070
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA--040 Issued in SC
Legal business name
STATE OF SOUTH CAROLINA
Doing business as
SC DHEC Midlands Home Health Services
Practice address
2111 Wilson Rd
Newberry, SC 29108-1603
Phone
(803) 276-5818
Fax
(803) 276-0168
NPI assigned
Jul 26, 2006
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Mr. Lee A Kirkpatrick, LMSW
Title
Director/Home Health Administrator
Phone
(803) 576-2916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA--040 SC Primary

Addresses

Primary practice location

2111 Wilson Rd
Newberry, SC 29108-1603

Mailing address

2111 Wilson Rd
Newberry, SC 29108-1603
Phone (803) 276-5818

Other identifiers 3

IdentifierTypeStateIssuer
191525MedicaidSC
153548OtherSCUNISON HEALTH PLAN OF SC
20021665OtherSCSELECT HEALTH PROVIDER

Other names 1

  • SC DHEC Midlands Home Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Capital Care Resources of South Carolina LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2111 Wilson Rd
Newberry, SC 29108
Phone (803) 321-2170

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2016 Change of OwnershipThis provider was the seller Centerwell Home HealthCCN 427850, SC, NPI 1760857767

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1689697070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 WILSON RD",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291081603",
            "telephone_number": "803-276-5818",
            "fax_number": "803-276-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 WILSON RD",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291081603",
            "telephone_number": "803-276-5818",
            "fax_number": "803-276-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "803-576-2916",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA--040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191525",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "153548",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER",
            "identifier": "20021665",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SC DHEC Midlands Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.