Individual provider Active NPI

Nathan Rhodes

  • Home Health Agency
  • Columbia, SC
National Provider Identifier
1790348068
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IHCP-0058 Issued in SC
Practice address
3800 Forest Dr Ste C201
Columbia, SC 29204-4149
Phone
(803) 315-5769
Fax
(803) 233-2774
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHCP-0789 SC
Home Health Agency 251E00000X IHCP-0058 SC Primary

Addresses

Primary practice location

3800 Forest Dr Ste C201
Columbia, SC 29204-4149

Mailing address

3800 Forest Dr Ste C201
Columbia, SC 29204-4149
Phone (803) 315-5769

Other practice location 1

811 8th Ave S Ste B
Surfside Beach, SC 29575-3373
Phone (843) 640-0129

Other identifiers 2

IdentifierTypeStateIssuer
IHCP-0058OtherSCIN HOME CARE AGENCY LICENSE
IHCP-0789OtherSCIN HOME CARE AGENCY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Billing@ABC-Midlands.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-0058SCMDHome Health Agency
IHCP-0789SCMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Nlrnc-Abc, LLC Current Accepting new patients
NLR Services, Inc. CurrentSince Jan 12, 2020 Accepting new patients

Locations

3800 Forest Dr
Ste C201
Columbia, SC 29204
Phone (803) 315-5769

811 8th Ave S
Ste B
Surfside Beach, SC 29575
Phone (843) 640-0129

Interoperability endpoints

  • Direct secure messaging: billing@abc-midlands.com

Organizations & group practices 2

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1790348068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 FOREST DR STE C201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044149",
            "telephone_number": "803-315-5769",
            "fax_number": "803-233-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FOREST DR STE C201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044149",
            "telephone_number": "803-315-5769",
            "fax_number": "803-233-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 8th Ave S Ste B",
            "address_purpose": "LOCATION",
            "city": "Surfside Beach",
            "state": "SC",
            "postal_code": "295753373",
            "country_code": "US",
            "telephone_number": "843-640-0129",
            "fax_number": "212-878-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-0789",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "IHCP-0058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME CARE AGENCY LICENSE",
            "identifier": "IHCP-0058",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME CARE AGENCY LICENSE",
            "identifier": "IHCP-0789",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Billing@ABC-Midlands.com",
            "affiliation": "N",
            "endpointDescription": "Billing Coordinator",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3800 Forest Dr Ste C201",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292044149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.