Tides of Life Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TIDES OF LIFE HOME CARE, LLC

Practice address

114 Haygood Ave Ste a
Lexington, SC 29072-2673

Phone

(803) 399-0639

Fax

(803) 399-0575

NPI assigned

Dec 6, 2022

Organization subpart

No

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

Authorized official

Name

Jean Craig

Title

Co-Owner

Phone

(803) 399-0639

Specialties & licenses 1

Addresses

Other names 1

• Senior Helpers of Lexington SC Doing business as

Locations

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1891406393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HAYGOOD AVE STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722673",
            "telephone_number": "803-399-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HAYGOOD AVE STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722673",
            "telephone_number": "803-399-0639",
            "fax_number": "803-399-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDES OF LIFE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-399-0639"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers of Lexington SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lindsey Autumn Thurmon, NP
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• Hannah Till, MA. CF-SLP
• Jennifer D Tillmann, PH.D.
• Amber Timmons, FNP

• In Home Supportive Care Agency in Lexington, SC
• Providers in Lexington, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.