Organization Active NPI

Prominent Home Care

  • In Home Supportive Care Agency
  • North Charleston, SC
National Provider Identifier
1790566149
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROMINENT HOME CARE
Practice address
3236 Landmark Dr Ste 122
North Charleston, SC 29418-8490
Phone
(843) 530-1946
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Latosha JohnsonNPI 1073394417
Title
Ceo
Phone
(843) 530-1946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3236 Landmark Dr Ste 122
North Charleston, SC 29418-8490

Mailing address

746 Ladywood Dr
Summerville, SC 29486-7079

National Provider Directory

National Provider Directory

Locations

3236 Landmark Dr
Ste 122
North Charleston, SC 29418
Phone (843) 530-1946

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1790566149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 LADYWOOD DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 LANDMARK DR STE 122",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188490",
            "telephone_number": "843-530-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-530-1946"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.