Latifah A Gilliard, HOME HEALTH PROVIDER

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

IHCP-1915 Issued in SC

Practice address

710 Mason St
Summerville, SC 29485-7507

Phone

(843) 819-6175

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Latifah A Gilliard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blessful Home Care LLC

  • Home Health Agency
  • North Charleston, SC
  • NPI 1124847405
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1881455384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MASON ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857507",
            "telephone_number": "843-819-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MASON ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857507",
            "telephone_number": "843-819-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIARD",
        "first_name": "LATIFAH",
        "middle_name": "A",
        "credential": "HOME HEALTH PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SC",
            "license": "IHCP-1915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATIFAH",
            "last_name": "GILLIARD",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Benson Gibbs, M.D.
• Anna Flores Gibson, LPC
• Timothy Curtis Gibson Jr., DDS, MS
• Christina Nicole Gilbert
• Pete Gill
• Alexandra Kay Girard
• Ronnie M Givens II, MD
• Givers That Care, LLC
• Mark D Glenn
• Sarah Marie Glenn, IBCLC, CCE, CD, RYT

• Home Health Registered Nurse in Summerville, SC
• Providers in Summerville, SC by specialty
• Home Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.