Organization Active NPI

Potte'RS House in Home Care

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1770018871
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0610 Issued in SC
Legal business name
POTTE'RS HOUSE IN HOME CARE
Practice address
331 E Main St Ste 208
Rock Hill, SC 29730-5384
Phone
(704) 890-6114
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Ms. Melrena Densie McInnis
Title
Presdient
Phone
(704) 890-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHCP-0610 SC Primary

Addresses

Primary practice location

331 E Main St Ste 208
Rock Hill, SC 29730-5384

Mailing address

331 E Main St
Rock Hill, SC 29730-5383
Phone (704) 890-6114

Other names 1

  • Potter's House In me Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Potte'RS House in Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

331 E Main St
Ste 208
Rock Hill, SC 29730
Phone (704) 890-6114

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1770018871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305383",
            "telephone_number": "704-890-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST STE 208",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305384",
            "telephone_number": "704-890-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTE'RS HOUSE IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "MCINNIS",
        "authorized_official_first_name": "MELRENA",
        "authorized_official_middle_name": "DENSIE",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "704-890-6114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potter's House In me Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

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

Verify at the official NPI Registry.