Palmetto Personal Care Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PALMETTO PERSONAL CARE SERVICES INC

Practice address

684 Main St
Fair Bluff, NC 28439

Phone

(910) 649-6569

Fax

(910) 649-6576

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Powers Williamson, LPN

Title

Owner Sec

Phone

(910) 649-6569

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710046271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "28439",
            "telephone_number": "910-649-6569",
            "fax_number": "910-649-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 MAIN ST",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "28439",
            "telephone_number": "910-649-6569",
            "fax_number": "910-649-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PERSONAL CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "POWERS",
        "authorized_official_title_or_position": "OWNER SEC",
        "authorized_official_telephone_number": "910-649-6569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601053",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0697",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malarie Catherine McConnell
• James Hubert Meares Jr., RPH
• Morefamilysupportllc
• Kristin Nelson
• Leonard Russell Odham Jr., DDS
• Rha Health Services NC LLC
• Rha Health Services NC LLC
• Janie Eve Waddell, LPC-A

• Home Health Agency in Fair Bluff, NC
• Providers in Fair Bluff, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.