Individual provider Active NPI

Wykina Evette Warner

  • Home Health Aide
  • Greenville, SC
National Provider Identifier
1841162864
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732
Phone
(864) 991-1782
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X SC Primary

Addresses

Primary practice location

1200 Woodruff Rd Ste A3
Greenville, SC 29607-5732

Mailing address

36 Governors Lake Way
Simpsonville, SC 29680-7380
Phone (864) 991-1782

Other names 1

  • Wykina Evette Montgomery Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
D2 Home Health Care LLC Current Accepting new patients
D2 Home Health Care LLC Home Health Aide Current Accepting new patients

Locations

1200 Woodruff Rd
Ste A3
Greenville, SC 29607
Phone (801) 712-2075

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1841162864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 GOVERNORS LAKE WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807380",
            "telephone_number": "864-991-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WOODRUFF RD STE A3",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075732",
            "telephone_number": "864-991-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "WYKINA",
        "middle_name": "EVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WYKINA",
            "last_name": "MONTGOMERY",
            "middle_name": "EVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.