Professional Care of Manning, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROFESSIONAL CARE OF MANNING, LLC

Practice address

220 West Boyce St
Manning, SC 29102

Phone

(803) 435-4301

Fax

(803) 435-4346

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Alice Reid

Title

Owner

Phone

(803) 435-9681

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1902190473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291020285",
            "telephone_number": "803-435-4301",
            "fax_number": "803-435-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WEST BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-435-4301",
            "fax_number": "803-435-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CARE OF MANNING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-435-9681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0887",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physicians Laboratories
• Piggly Wiggly of Manning Inc. (SupRx #32)
• Tammy Wynette Plemons-Sandifer
• Sandra D Pompey
• Virginia Ellis Powell, PHARMD
• Promed Ambulance Service, LLC
• Robin McAleer Prothro, MS, OTR/L
• Donna F. Quattlebaum, RN
• Catherine E Rabon, MD
• Cheryl D Ragin

• In Home Supportive Care Agency in Manning, SC
• Providers in Manning, 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 Jun 2, 2011; 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.