Tasha Damon

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

IHCP-0978 Issued in SC

Practice address

320 58TH Ave N
North Myrtle Beach, SC 29582-1122

Phone

(843) 446-0516

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Archangel Home Care

  • In Home Supportive Care Agency
  • North Myrtle Beach, SC
  • NPI 1215627559
  NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1982214599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295970064",
            "telephone_number": "843-446-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 58TH AVE N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295821122",
            "telephone_number": "843-446-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "TASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "SC",
            "license": "IHCP-0978",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "IHCP-0978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
            "identifier": "IHCP-0978",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Counseling of the Carolinas
• Craig L. Milburn, DMD LLC (Ocean Drive Dentistry)
• CVS Caremark
• Shannon Marie Cyr
• D. Calvin Riley Jr. DMD PA (Crescent Beach Dental)
• Ashley Nicole Daniels, RBT
• Abdel Hassan Darensburg, D.D.S.
• William T. Davis, DDS
• Robert Allan Day, CPO
• Stephanie Hurst Deal, LPTA

• Home Health Aide in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.