NPIMap

Organization Active NPI

Palmetto Homecare

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Anderson, SC
National Provider Identifier
1992099659
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Mrs. Dana Mitchell, RNNPI 1558655217
Title
Owner
Phone
(864) 221-2980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

780 Tillotson Rd
Anderson, SC 29621-5105

Mailing address

780 Tillotson Rd
Anderson, SC 29621-5105
Phone (864) 221-2980

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Anderson, SC

Sources for this page

  • 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.