Organization Active NPI

Havenleigh Home Care LLC

  • Home Health Aide
  • Easley, SC
National Provider Identifier
1881515286
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
HAVENLEIGH HOME CARE LLC
Practice address
205 Maxwell Dr
Easley, SC 29642-8426
Phone
(864) 517-5645
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Vaniessa Marie Williams-Fray, RN, BSN, MPH
Title
Owner/Administrator
Phone
(864) 517-5645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

205 Maxwell Dr
Easley, SC 29642-8426

Mailing address

205 Maxwell Dr
Easley, SC 29642-8426
Phone (864) 517-5645

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1881515286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MAXWELL DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428426",
            "telephone_number": "864-517-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAXWELL DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428426",
            "telephone_number": "864-517-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENLEIGH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-FRAY",
        "authorized_official_first_name": "VANIESSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "864-517-5645",
        "authorized_official_credential": "RN, BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.