Active NPI
The Shepherd'S House of Tender Care
- Home Health Agency
- Hampton, SC
National Provider Identifier
1982115291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THE SHEPHERD'S HOUSE OF TENDER CARE
- Practice address
- 103 Holly St E
Hampton, SC 29924-3913 - Phone
- (803) 398-7982
- NPI assigned
- Oct 13, 2017
- 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
- Joyce Davis, LPN
- Title
- Owner
- Phone
- (803) 398-7982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
103 Holly St E
Hampton, SC 29924-3913
Mailing address
PO Box 14
Hampton, SC 29924-0014
Phone (803) 398-7982
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253Z00000X | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1982115291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14",
"city": "HAMPTON",
"state": "SC",
"postal_code": "299240014",
"telephone_number": "803-398-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 HOLLY ST E",
"city": "HAMPTON",
"state": "SC",
"postal_code": "299243913",
"telephone_number": "803-398-7982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SHEPHERD'S HOUSE OF TENDER CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-13",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-398-7982",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253Z00000X",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.