Organization Active NPI

Camellia'S Home Care

  • In Home Supportive Care Agency
  • Florence, SC
National Provider Identifier
1750058459
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Shiandra Keyata DavisNPI 1366004319
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.