Active NPI
Buckner in Home Care LTD Co
- Adult Companion
- Walterboro, SC
National Provider Identifier
1790200186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.