Vna of Greater Bamberg, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA-045 Issued in SC

Legal business name

VNA OF GREATER BAMBERG, INC.

Practice address

923 Midway St
Bamberg, SC 29003-1957

Phone

(803) 245-5611

Fax

(803) 245-3259

NPI assigned

Jan 3, 2007

Last updated

Feb 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Javy Rudolph Gwaltney III

Title

Cfo

Phone

(803) 245-5611

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1790842987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MIDWAY ST",
            "address_2": "PO BOX 1048",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031957",
            "telephone_number": "803-245-5611",
            "fax_number": "803-245-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MIDWAY ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031957",
            "telephone_number": "803-245-5611",
            "fax_number": "803-245-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA OF GREATER BAMBERG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "GWALTNEY",
        "authorized_official_first_name": "JAVY",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-245-5611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427030",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Veil Express Ride LLC (The Veil Express Ride)
• Meredith Squires Tuck, RN
• Kelenne V Tuitt, D.O.
• United Rehab Inc. (United Rehab of Bamberg)
• Rocio J Urena Ducasa, M.D.
• Walgreen Co (Walgreens# 17118)
• Crystal Barr Williams, NP
• Jamie F Williams, MSP, CCC-SLP
• Lauren Blake Williams, RN
• Yokina K. Williams, MS

• Home Health Agency in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.