Organization Active NPI

Buckner in Home Care LTD Co

  • Adult Companion
  • Walterboro, SC
National Provider Identifier
1790200186
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
BUCKNER IN HOME CARE LTD CO
Practice address
504 Forest Cir Apt 528
Walterboro, SC 29488-2972
Phone
(803) 998-6253
NPI assigned
Aug 7, 2017
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Kimberly Davis
Title
Credentialing Specialists
Phone
(912) 484-3879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary
Homemaker 376J00000X

Addresses

Primary practice location

504 Forest Cir Apt 528
Walterboro, SC 29488-2972

Mailing address

504 Forest Cir Apt 528
Walterboro, SC 29488-2972

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1790200186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 FOREST CIR APT 528",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 FOREST CIR APT 528",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882972",
            "telephone_number": "803-998-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER IN HOME CARE LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-484-3879"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.