Active NPI
Keisha Lyn Castimore
- Home Health Agency
- Surfside Beach, SC
National Provider Identifier
1861110025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1413 Highway 17 S # 139
Surfside Beach, SC 29575-6040 - Phone
- (910) 682-4655
- NPI assigned
- Aug 15, 2022
- Last updated
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | SC | Primary |
Addresses
Primary practice location
1413 Highway 17 S # 139
Surfside Beach, SC 29575-6040
Mailing address
1413 Highway 17 S # 139
Surfside Beach, SC 29575-6040
Phone (910) 682-4655
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | keishacastimore@hopeandhealingllc.org | Direct | |
| Direct Messaging Address | keishacastimore@hopeandhealingllc.rg | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1861110025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 HIGHWAY 17 S # 139",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756040",
"telephone_number": "910-682-4655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 HIGHWAY 17 S # 139",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756040",
"telephone_number": "910-682-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTIMORE",
"first_name": "KEISHA",
"middle_name": "LYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keishacastimore@hopeandhealingllc.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1413 Highway 17 S # 139",
"city": "Surfside Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295756040",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keishacastimore@hopeandhealingllc.rg",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1413 Highway 17 S # 139",
"city": "Surfside Beach",
"state": "SC",
"country_code": "US",
"postal_code": "295756040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Surfside Beach, SC
- Lesley Renee Cannon-Hutchens, LMT
- Joseph Harold Capps Jr.
- Care Pharmacy of Surfside LLC
- Devon Andrew Carey, RN, BSN
- Carolina Foot Health Center, PA
- Chiropractic and Wellness Studio (The Chiropractic and Wellness Studio)
- Karen Cox Clark, FNP
- Raymond E Cleary III, DDS
- Janet Clifford, PT
- Coastal Calm Psychiatry Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.