Active NPI
Kada Hill
- Non-emergency Medical Transport (VAN)
- Roebuck, SC
National Provider Identifier
1861240434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 011146654
- Practice address
- 675 W Heatherstone LN
Roebuck, SC 29376-2790 - Phone
- (864) 308-9363
- NPI assigned
- May 9, 2024
- Last updated
- May 9, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 011146654 | SC | Primary |
Addresses
Primary practice location
675 W Heatherstone LN
Roebuck, SC 29376-2790
Mailing address
675 W Heatherstone LN
Roebuck, SC 29376-2790
Phone (864) 308-9363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011146654 | SC | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1861240434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W HEATHERSTONE LN",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293762790",
"telephone_number": "864-308-9363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W HEATHERSTONE LN",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293762790",
"telephone_number": "864-308-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "KADA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "SC",
"license": "011146654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roebuck, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.