Provided Care in Home Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1400033243 Issued in SC

Legal business name

PROVIDED CARE IN HOME SERVICES, LLC.

Practice address

217 E Stone Ave Ste 12
Greenville, SC 29609-5655

Phone

(864) 200-2796

Fax

(864) 569-0173

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Travis R. Dogan

Title

Owner

Phone

(864) 505-0383

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Provided Care in Home Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Provided Care in-Home Services LLC

  • In Home Supportive Care Agency
  • Greenville, SC
  • NPI 1144577990
  NPD tax ID

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1811308778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E. STONE AVE SUITE 12",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29609",
            "telephone_number": "864-200-2796",
            "fax_number": "864-569-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E STONE AVE STE 12",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095655",
            "telephone_number": "864-200-2796",
            "fax_number": "864-569-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDED CARE IN HOME SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "DOGAN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-505-0383"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "1400033243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promising Futures, LLC
• Anthony Ryan Propes, PHARM D.
• Prosthetic Care Inc
• Prosthetic Care, Inc
• Yianni Protopapadakis
• Provided Care in-Home Services LLC
• Providence Home Care LLC
• Provident Ear Nose and Throat LLC
• Jusiah Prowell, MS
• Amanda F. Pruitt, PA-C

• Home Health Agency in Greenville, SC
• Providers in Greenville, 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 May 14, 2014; 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.