Active NPI
Darlene Graham
- Home Health Aide
- Fort Mill, SC
National Provider Identifier
1821488933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 467077
- Practice address
- 109 Coburn CT
Fort Mill, SC 29715-6918 - Phone
- (609) 254-6336
- Fax
- (803) 396-0810
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 467077 | SC | Primary |
Addresses
Primary practice location
109 Coburn CT
Fort Mill, SC 29715-6918
Mailing address
109 Coburn CT
Fort Mill, SC 29715-6918
Phone (609) 254-6336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 467077 | SC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1821488933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 COBURN CT",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297156918",
"telephone_number": "609-254-6336",
"fax_number": "803-396-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 COBURN CT",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297156918",
"telephone_number": "609-254-6336",
"fax_number": "803-396-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "467077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.