Active NPI
Cynthia Nathaniel
- Home Health Aide
- North Augusta, SC
National Provider Identifier
1902360811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- IHCP-0933
- Practice address
- 1714 Edgefield Rd
North Augusta, SC 29860-9184 - Phone
- (803) 257-4811
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | IHCP-0933 | SC | Primary |
Addresses
Primary practice location
1714 Edgefield Rd
North Augusta, SC 29860-9184
Mailing address
1714 Edgefield Rd
North Augusta, SC 29860-9184
Phone (803) 257-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1834296 | Other | INTERNAL REVENUE SERVICE |
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 |
|---|---|---|---|
| IHCP-0933 | SC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passion With Purpose Home Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- North Augusta, SC
- NPI 1629533245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1902360811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 EDGEFIELD RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609184",
"telephone_number": "803-257-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 EDGEFIELD RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609184",
"telephone_number": "803-257-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHANIEL",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "SC",
"license": "IHCP-0933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL REVENUE SERVICE",
"identifier": "83-1834296",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.