Xtra Homecare Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

XTRA HOMECARE SERVICES, INC.

Practice address

33 Market Point Dr
Suite 2016
Greenville, SC 29607-5768

Phone

(864) 527-0466

Fax

(864) 288-9872

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Pearl Black

Title

Cfo

Phone

(864) 527-0466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1750627675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25249",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296160249",
            "telephone_number": "864-527-0466",
            "fax_number": "864-288-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MARKET POINT DR",
            "address_2": "SUITE 2016",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075768",
            "telephone_number": "864-527-0466",
            "fax_number": "864-288-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-527-0466"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1162",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Lewis Wyrick, NURSE PRACTITIONER
• Mildred Wyse, RN
• Lindsey Michele Wzorek, OTR/L
• Joseph Nazareth Xavier, PHARMD
• Ahiga Dasan XI-Amaru
• Lauren Xu, M.D.
• Hicham Mohamad Said Yactine
• Meenakshi Yadav
• Sandra Yaggie
• Kazuko Yamashita

• In Home Supportive Care Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.