Organization Active NPI

NCSC Home Care Services

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1992167829
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
IHCP-0596 Issued in SC
Legal business name
NCSC HOME CARE SERVICES
Practice address
454 Anderson Rd S
Rock Hill, SC 29730-3392
Phone
(980) 200-1933
Fax
(803) 693-5210
NPI assigned
Mar 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Yusuf Muhammad
Title
President
Phone
(803) 909-9428

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X IHCP-0596 SC Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

454 Anderson Rd S
Rock Hill, SC 29730-3392

Mailing address

4417 Gatesmills Ave
Charlotte, NC 28213-4341
Phone (803) 909-9428

Other practice location 1

331 E Main St
Suite 200
Rock Hill, SC 29730-5383
Phone (803) 909-9428

Other identifiers 1

IdentifierTypeStateIssuer
EX1460MedicaidSC

National Provider Directory

National Provider Directory

Locations

13534 Plaza Road Ext
Ste 113
Charlotte, NC 28215
Phone (980) 200-1933

454 Anderson Rd S
Ste 124
Rock Hill, SC 29730
Phone (980) 200-1933

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1992167829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 GATESMILLS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134341",
            "telephone_number": "803-909-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "980-200-1933",
            "fax_number": "803-693-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 E Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297305383",
            "country_code": "US",
            "telephone_number": "803-909-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NCSC HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-909-9428"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0596",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1460",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.