Fetter Health Care Network, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FETTER HEALTH CARE NETWORK, INC

Doing business as

Franklin C Fetter Family Health Center-Home Health

Practice address

51 Nassau St
Charleston, SC 29403-5513

Phone

(843) 722-4112

Fax

(843) 577-8960

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Reuben J Pettiford

Title

Executive Director

Phone

(843) 722-4112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Franklin C Fetter Family Health Center-Home Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Schha, LLC

  • Home Health Agency
  • Charleston, SC
  • NPI 1609310929

  Sold to, 2016-12-26

  CMS change of ownership

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1972610301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 NASSAU ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035513",
            "telephone_number": "843-722-4112",
            "fax_number": "843-577-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTER HEALTH CARE NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "PETTIFORD",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-722-4112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267853",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin C Fetter Family Health Center-Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shauna Ferrese, PHD, LPC-S, LAC, NCC
• Nicole Ferroni, NP
• James Le Roy Ferry, DC
• Fetter Health Care Network, Inc
• Fetter Health Care Network, Inc
• Fetter Health Care Network, Inc.
• Fetter Health Care Network, Inc.
• Fetter Health Care Network, Inc.
• Fetter Health Care Network, Inc.
• Fetter Health Care Network, Inc.

• Home Health Agency in Charleston, SC
• Providers in Charleston, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.