Organization Active NPI

Nirvana Dreams Healthcare Agency

  • In Home Supportive Care Agency
  • Hampton, SC
National Provider Identifier
1952215477
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NIRVANA DREAMS HEALTHCARE AGENCY
Practice address
219 Lee Ave
Hampton, SC 29924-3441
Phone
(803) 403-9048
Fax
(803) 902-6588
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Teletha Lushay Ruth, DNP, CRNA, APRN
Title
Owner/Managing Member
Phone
(803) 403-9048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

219 Lee Ave
Hampton, SC 29924-3441

Mailing address

PO Box 112
Hampton, SC 29924-0112
Phone (803) 403-9048

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1952215477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299240112",
            "telephone_number": "803-403-9048",
            "fax_number": "803-902-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 LEE AVE",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299243441",
            "telephone_number": "803-403-9048",
            "fax_number": "803-902-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA DREAMS HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "TELETHA",
        "authorized_official_middle_name": "LUSHAY",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "803-403-9048",
        "authorized_official_credential": "DNP, CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.