Organization Active NPI

At Your Service Home Care

  • In Home Supportive Care Agency
  • Sumter, SC
National Provider Identifier
1922451673
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0135 Issued in SC
Legal business name
AT YOUR SERVICE HOME CARE
Practice address
1250 Wilson Hall Rd
Sumter, SC 29150-1889
Phone
(803) 607-9677
Fax
(888) 686-2571
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Mr. Jeffrey J Reed
Title
Owner
Phone
(803) 607-9677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IHCP-0135 SC Primary

Addresses

Primary practice location

1250 Wilson Hall Rd
Sumter, SC 29150-1889

Mailing address

1250 Wilson Hall Rd
Sumter, SC 29150-1889
Phone (803) 607-9677

Other identifiers 1

IdentifierTypeStateIssuer
EX1401OtherSCMEDICAID CLTC PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1922451673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501889",
            "telephone_number": "803-607-9677",
            "fax_number": "888-686-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501889",
            "telephone_number": "803-607-9677",
            "fax_number": "888-686-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR SERVICE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-607-9677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CLTC PROVIDER NUMBER",
            "identifier": "EX1401",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.