Tidelands Home Care LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

TIDELANDS HOME CARE LLC

Practice address

829 Front St Ste I
Georgetown, SC 29440-3564

Phone

(732) 522-3724

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 2018By 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

Mr. Nitin P Shah

Title

President

Phone

(732) 522-3724

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1710464771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 FRONT ST STE I",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403564",
            "telephone_number": "732-522-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FRONT ST STE I",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403564",
            "telephone_number": "732-522-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDELANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-522-3724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC",
            "identifier": "IHCP-0887",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Family Counseling
• Tidelands Anesthesia Group LLC
• Tidelands Anesthesia Group LLC
• Tidelands GHS Joint Venture LLC (Tidelands Community Hospice)
• Tidelands GHS Joint Venture LLC (Tidelands Community Palliative Care)
• Gerald R. Tiller, M.D.
• Kelsey Tiller, RD, LD
• Logan Hill Timmons, OTR/L
• Brenda Tomlin-Aubrey, CRNA
• Eddie A Towe, CRNA

• Homemaker in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Homemaker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.