Nurse630 LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NURSE630 LLC

Practice address

3505 Pelham Rd Ste B
Greenville, SC 29615-4154

Phone

(864) 670-5267

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Tykeba Williams

Title

Owner/ Director

Phone

(864) 670-5267

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1841855582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N IVESTOR CT",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293497213",
            "telephone_number": "404-821-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154154",
            "telephone_number": "864-670-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE630 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TYKEBA",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "864-670-5267"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Nunes, PHARMD
• Fiesky Alejandro Nunez, MD
• Jessica Nunez, BA
• Sunjay Ryan Nunley, MD
• Nurse Associates LLC
• Nurses With a Gift & Purpose
• Nurses With Love LLC
• Nutritional & Psychological Wellness, LLC
• Nutritional Support Services LP
• Emily Suzanne Nyers, MD

• Home Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.