Active NPI
Monica Miller
- Home Health Agency
- Barnwell, SC
National Provider Identifier
1962024422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1313 Hunter Dr
Barnwell, SC 29812-6773 - Phone
- (803) 645-7122
- NPI assigned
- May 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Driver | 172A00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | 9982306 | SC | |
| Nurse's Aide | 376K00000X | CN0030036744 | GA | |
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1313 Hunter Dr
Barnwell, SC 29812-6773
Mailing address
PO Box 1195
Barnwell, SC 29812-1195
Phone (803) 645-7122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | NONE TO REPORT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Caregivershc1 |
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 |
|---|---|---|---|
| CN0030036744 | GA | MD | Nurse's Aide |
| 9982306 | SC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1962024422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1195",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298121195",
"telephone_number": "803-645-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 HUNTER DR",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298126773",
"telephone_number": "803-645-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SC",
"license": "9982306",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "CN0030036744",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Caregivershc1",
"affiliation": "N",
"address_1": "1313 Hunter Dr",
"city": "Barnwell",
"state": "SC",
"country_code": "US",
"postal_code": "298126773",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barnwell, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.