Active NPI
Taleesa Porter
- Home Health Aide
- Hollywood, SC
National Provider Identifier
1821979097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5658 Heyward Smalls Rd
Hollywood, SC 29449-5710 - Phone
- (843) 302-5213
- Fax
- (855) 403-7011
- NPI assigned
- Sep 11, 2025
- 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 | Primary |
Addresses
Primary practice location
5658 Heyward Smalls Rd
Hollywood, SC 29449-5710
Mailing address
5658 Heyward Smalls Rd
Hollywood, SC 29449-5710
Phone (843) 302-5213
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1821979097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5658 HEYWARD SMALLS RD",
"city": "HOLLYWOOD",
"state": "SC",
"postal_code": "294495710",
"telephone_number": "843-302-5213",
"fax_number": "855-403-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5658 HEYWARD SMALLS RD",
"city": "HOLLYWOOD",
"state": "SC",
"postal_code": "294495710",
"telephone_number": "843-302-5213",
"fax_number": "855-403-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "TALEESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.