Organization Active NPI

Tika Home Care LLC.

  • Personal Care Attendant
  • Gaston, SC
National Provider Identifier
1851165674
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
TIKA HOME CARE LLC.
Practice address
628 Cassidy Rd
Gaston, SC 29053
Phone
(803) 497-3713
NPI assigned
Nov 13, 2023
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Mrs. Irina V. Wade
Title
100 Percent Owner
Phone
(803) 497-3713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

628 Cassidy Rd
Gaston, SC 29053

Mailing address

628 Cassidy Rd
Gaston, SC 29053
Phone (803) 497-3713

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1851165674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CASSIDY RD",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "29053",
            "telephone_number": "803-497-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CASSIDY RD",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "29053",
            "telephone_number": "803-497-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKA HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "100 PERCENT OWNER",
        "authorized_official_telephone_number": "803-497-3713",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.