Active NPI
CC Elderly Care Connection
- Transportation Broker
- Fort Mill, SC
National Provider Identifier
1760991806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- CC ELDERLY CARE CONNECTION
- Practice address
- 150 BW Thomas Dr
Fort Mill, SC 29708-7230 - Phone
- (980) 200-5370
- NPI assigned
- Sep 20, 2017
- Last updated
- Sep 20, 2017
- 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
- Miss Dominique Sequioa Hamrick
- Title
- Owner
- Phone
- (980) 200-5370
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
150 BW Thomas Dr
Fort Mill, SC 29708-7230
Mailing address
1711 Copperplate Rd
Charlotte, NC 28262-6435
Phone (980) 200-5370
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Fort Mill, SC
- NPI 1326586751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505865600000",
"number": "1760991806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 COPPERPLATE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626435",
"telephone_number": "980-200-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BW THOMAS DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087230",
"telephone_number": "980-200-5370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC ELDERLY CARE CONNECTION",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A",
"authorized_official_last_name": "HAMRICK",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_middle_name": "SEQUIOA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "980-200-5370",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.