Individual provider Active NPI

Jennifer Reese King, DIRECTOR

  • In Home Supportive Care Agency
  • St Matthews, SC
National Provider Identifier
1770168163
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-1114 Issued in SC
Practice address
308 New Hope Rd
Saint Matthews, SC 29135-8196
Phone
(803) 860-0153
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHCP-1114 SC Primary

Addresses

Primary practice location

308 New Hope Rd
Saint Matthews, SC 29135-8196

Mailing address

308 New Hope Rd
Saint Matthews, SC 29135-8196
Phone (803) 860-0153

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jking308@reesesihc.com Direct
Direct Messaging Address jking308@reesesihc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IHCP-1114SCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Reese's in-Home Care, LLC In Home Supportive Care Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1770168163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NEW HOPE RD",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291358196",
            "telephone_number": "803-860-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NEW HOPE RD",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291358196",
            "telephone_number": "803-860-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "REESE",
        "credential": "DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jking308@reesesihc.com",
            "affiliation": "N",
            "endpointDescription": "Outlook",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "308 New Hope Rd",
            "city": "Saint Matthews",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291358196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jking308@reesesihc.com",
            "affiliation": "N",
            "endpointDescription": "Outlook 365",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business EmAIL",
            "address_1": "308 New Hope Rd",
            "city": "Saint Matthews",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291358196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Matthews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.