Organization Active NPI

Novacare, LLC

  • Home Health Agency
  • Laurens, SC
National Provider Identifier
1720877103
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOVACARE, LLC
Practice address
72 Poulson PL
Laurens, SC 29360-5855
Phone
(864) 705-8365
NPI assigned
May 2, 2025
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Ms. Tiffany Lynn Smith, CNA, MED TECH
Title
Owner
Phone
(864) 705-8365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

72 Poulson PL
Laurens, SC 29360-5855

Mailing address

PO Box 84
Fountain Inn, SC 29644-0084
Phone (864) 705-8365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1720877103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296440084",
            "telephone_number": "864-705-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 POULSON PL",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293605855",
            "telephone_number": "864-705-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-705-8365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA, MED TECH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.