Malcolm Family Care House LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

MALCOLM FAMILY CARE HOUSE LLC

Practice address

172 E Main St Ste 203
Spartanburg, SC 29306-5181

Phone

(864) 249-6937

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Dayjha Mona' Malcolm

Title

Adminstator

Phone

(864) 249-6937

Specialties & licenses 1

Addresses

Other names 1

• Malcolm Family Care House Doing business as

Locations

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1972373892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST STE 203",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065181",
            "telephone_number": "864-249-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST STE 203",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065181",
            "telephone_number": "864-249-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM FAMILY CARE HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "DAYJHA",
        "authorized_official_middle_name": "MONA'",
        "authorized_official_title_or_position": "ADMINSTATOR",
        "authorized_official_telephone_number": "864-249-6937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malcolm Family Care House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Eller Mahan
• Nabil Mahmoud, MD
• Philip A Mahoney Jr., MD
• Tracy Makison, MSP-CCC-SLP
• Jayleen Marie Malave Cartagena, MPHE
• Harrison Reid Malcolm
• Kyle Maldonado, DMD
• Deepak Malhan, M.D.
• Wesley Daniel Mallinger, D.O.
• Candace Gregory Malone, NP

• All providers in Spartanburg, SC
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.