Active NPI
Camellia'S Home Care
- In Home Supportive Care Agency
- Florence, SC
National Provider Identifier
1750058459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CAMELLIA'S HOME CARE
- Practice address
- 3656 S Irby St Ste a
Florence, SC 29505-5225 - Phone
- (843) 779-6740
- NPI assigned
- Aug 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shiandra Keyata Davis
- Title
- Owner
- Phone
- (843) 373-8284
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3656 S Irby St Ste a
Florence, SC 29505-5225
Mailing address
3656 S Irby St Ste a
Florence, SC 29505-5225
Phone (843) 779-6740
National Provider Directory
National Provider DirectoryLocations
3656 S Irby St
Florence, SC 29505
Phone (843) 845-5588
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Florence, SC
- NPI 1366004319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1750058459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3656 S IRBY ST STE A",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295055225",
"telephone_number": "843-779-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3656 S IRBY ST STE A",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295055225",
"telephone_number": "843-779-6740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMELLIA'S HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SHIANDRA",
"authorized_official_middle_name": "KEYATA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-373-8284"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.