Organization Active NPI

The Shepherd'S House of Tender Care

  • Home Health Agency
  • Hampton, SC
National Provider Identifier
1982115291
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
253Z00000XMedicaidSC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.