Organization Active NPI

Palmetto Personal Home Kare

  • Health Service Clinic/Center
  • Latta, SC
National Provider Identifier
1992169163
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PALMETTO PERSONAL HOME KARE
Practice address
105 N Richardson St
Latta, SC 29565-1630
Phone
(843) 506-2486
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Beverly J Gurley
Title
Administrator
Phone
(843) 506-2486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

105 N Richardson St
Latta, SC 29565-1630

Mailing address

105 N Richardson St
Latta, SC 29565-1630
Phone (843) 506-2486

National Provider Directory

National Provider Directory

Locations

105 N Richardson St
Latta, SC 29565
Phone (843) 506-2486

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1992169163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N RICHARDSON ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651630",
            "telephone_number": "843-506-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N RICHARDSON ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651630",
            "telephone_number": "843-506-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PERSONAL HOME KARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-506-2486",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.