Organization Active NPI

Carolina Reliable Home Care LLC

  • In Home Supportive Care Agency
  • Lexington, SC
National Provider Identifier
1962250845
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CAROLINA RELIABLE HOME CARE LLC
Practice address
203 W Main St Ste G11
Lexington, SC 29072-2670
Phone
(803) 399-1919
NPI assigned
May 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Pascha Tarmara Cokely
Title
Administrator
Phone
(336) 251-2753

Specialties & licenses 1

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

Addresses

Primary practice location

203 W Main St Ste G11
Lexington, SC 29072-2670

Mailing address

203 W Main St Ste G11
Lexington, SC 29072-2670
Phone (803) 399-1919

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

Locations

203 W Main St
Ste G11
Lexington, SC 29072
Phone (803) 399-1919

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1962250845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST STE G11",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722670",
            "telephone_number": "803-399-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST STE G11",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722670",
            "telephone_number": "803-399-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA RELIABLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "COKELY",
        "authorized_official_first_name": "PASCHA",
        "authorized_official_middle_name": "TARMARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-251-2753"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.