Active NPI
Nirvana Dreams Healthcare Agency
- In Home Supportive Care Agency
- Hampton, SC
National Provider Identifier
1952215477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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": []
}
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- Julien Van Nguyen, PHARMD
- Nicole G Bennett, LLC
- Ohio Valley Physicians Inc
- Hailey Malphrus Owens, PA
- Palmetto Pharmacy Enterprises LLC
- Palmetto Primary Care Physicians, LLC
- Billie Anne Phillips, FNP-C
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.