Palmetto Homecare

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

PALMETTO HOMECARE

Practice address

780 Tillotson Rd
Anderson, SC 29621-5105

Phone

(864) 221-2980

Fax

(864) 296-6911

NPI assigned

May 30, 2011

Reactivated

Jul 27, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Mitchell, RN

Title

Owner

Phone

(864) 221-2980

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1992099659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 TILLOTSON RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215105",
            "telephone_number": "864-221-2980",
            "fax_number": "864-296-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 TILLOTSON RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215105",
            "telephone_number": "864-221-2980",
            "fax_number": "864-296-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-07-27",
        "deactivation_date": "2011-06-13",
        "reactivation_date": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-221-2980",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Owens
• Randi Marie Owens
• Kristen Ann Page, PT
• Palmetto Family Dentistry of Anderson, LLC
• Palmetto Family Dentistry PA
• Palmetto Pediatric Speech Therapy LLC
• Palmetto Physical Medicine
• Palmetto Physical Medicine
• Palmetto Physical Medicine
• Palmetto Podiatry Group of Anderson, PA

• Parenteral & Enteral Nutrition Supplies (DME) in Anderson, SC
• Providers in Anderson, SC by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.