His Grace Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HIS GRACE HOME HEALTH CARE LLC

Practice address

2112 Lake Carolina Dr
Columbia, SC 29229-7048

Phone

(301) 768-7878

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Oluwaseun Bankole

Title

Owner

Phone

(301) 768-7878

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780107284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 LAKE CAROLINA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297048",
            "telephone_number": "301-768-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 LAKE CAROLINA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297048",
            "telephone_number": "301-768-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BANKOLE",
        "authorized_official_first_name": "OLUWASEUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-768-7878"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra S Hinton, RMA
• Krysten Danyel Hinton, DO
• Maria Yvonne Hinton, APRN
• Sheltana Michelle Hipps, NP
• Victor Albert Hirth, MD
• Linda Luann Hiter, MASTERS EDUCATION
• Aaron Matthew Hittson, MD
• Jessica Bailey Hittson, PA
• Matthew Mark Hix, PHARMD
• Andrew S Ho, LISW

• In Home Supportive Care Agency in Columbia, SC
• Providers in Columbia, 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 21, 2022; 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.