Tracy Flood

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

83-1556655 Issued in SC

Practice address

1910 Kennerly Rd
Orangeburg, SC 29118-9156

Phone

(803) 347-3930

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Destine to Define Homecare Agency, LLC

  • In Home Supportive Care Agency
  • Orangeburg, SC
  • NPI 1689147530
  NPD Authorized official
• Labs R US LLC

  • Health Service Clinic/Center
  • Orangeburg, SC
  • NPI 1790436418
  NPD Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1750861571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 KENNERLY RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291189156",
            "telephone_number": "803-347-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 KENNERLY RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291189156",
            "telephone_number": "803-347-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "83-1556655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-1556655",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURACE CARRIERS",
            "identifier": "83-1556655",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "83-1556655",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mosunmola Feyisara Filani
• Fisher Foot Clinic, LLC
• Dana Justine Fisher, DPM
• Five Star Healthcare Services
• Cassandra Tisdale Fleming, R.PH.
• Floyd Brace Company, Inc.
• Andrea Fogle
• Deneena Mills Fogle
• Sharon Fogle, MA
• Dion L. Franga, MD

• In Home Supportive Care Agency in Orangeburg, SC
• Providers in Orangeburg, 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 Aug 21, 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.