Certified Caregivers-Spartanburg

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CERTIFIED CAREGIVERS-SPARTANBURG

Practice address

1 Real Estate Way Ste B9
Spartanburg, SC 29302-1969

Phone

(864) 586-1103

Fax

(864) 515-4560

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Walter T JamisonNPI 1053892679

Title

President

Phone

(864) 586-1103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Tennyson Jamison

  • In Home Supportive Care Agency
  • Greenville, SC
  • NPI 1053892679
  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1831930668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 REAL ESTATE WAY STE B9",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021969",
            "telephone_number": "864-586-1103",
            "fax_number": "864-515-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 REAL ESTATE WAY STE B9",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021969",
            "telephone_number": "864-586-1103",
            "fax_number": "864-515-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED CAREGIVERS-SPARTANBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-586-1103"
    },
    "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 Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• 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 Jan 14, 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.

Verify at the official NPI Registry.