New Phase Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NEW PHASE HOME CARE LLC

Practice address

734 Gilway St Unit B
Holly Hill, SC 29059

Phone

(803) 496-3290

NPI assigned

Aug 17, 2021

Organization subpart

No

Name

Mrs. Sonja Lorraine Davis, RN

Title

Administration

Phone

(843) 494-7199

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2021.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1831865351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290591482",
            "telephone_number": "803-496-3290",
            "fax_number": "803-496-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 GILWAY ST UNIT B",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "29059",
            "telephone_number": "803-496-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PHASE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "843-494-7199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.