Potters of Eden , LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

POTTERS OF EDEN , LLC

Practice address

1 Real Estate Way # B14
Spartanburg, SC 29302-1969

Phone

(864) 345-2607

Fax

(864) 428-1213

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Desiree SmithNPI 1194391441

Title

Owner

Phone

(864) 345-2607

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Sharon Desiree Smith, CNA

  • Home Health Aide
  • Spartanburg, SC
  • NPI 1194391441
  NPD Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1770256133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REAL ESTATE WAY # B14",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021969",
            "telephone_number": "864-345-2607",
            "fax_number": "864-428-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REAL ESTATE WAY # B14",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021969",
            "telephone_number": "864-345-2607",
            "fax_number": "864-428-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTERS OF EDEN , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-345-2607"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME CARE SERVICE",
            "identifier": "86323797",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Porter
• Philip W Porter
• Monica Faye Posey, BSW
• Ernesto Potes, MD
• Jeffrey Darl Pothoven, PT
• Sonya Gretcha Ann Potts
• Claudia Elizabeth Powell
• Danielle Leigh Powell, BS
• Margaret Fern Powell, OD
• Mirsada Powell, BA

• In Home Supportive Care Agency in Spartanburg, SC
• Providers in Spartanburg, 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 Jul 30, 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.