Avodah Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVODAH HOME CARE LLC

Practice address

9320 Two Notch Rd Ste D
Columbia, SC 29223-6402

Phone

(803) 764-4048

Fax

(803) 781-3292

NPI assigned

Feb 13, 2021

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katrecia Belgrave

Title

Administrator

Phone

(803) 240-6264

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1699368357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 TWO NOTCH RD STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236402",
            "telephone_number": "803-955-1171",
            "fax_number": "803-781-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 TWO NOTCH RD STE D",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236402",
            "telephone_number": "803-764-4048",
            "fax_number": "803-781-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVODAH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BELGRAVE",
        "authorized_official_first_name": "KATRECIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-240-6264",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.