PROVIDENCE HOME HEALTH (NPI# 1003374034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003374034 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME HEALTH |
| Practice Address |
500 Lakeshore Pkwy Rock Hill SC 29730-4273 |
| Practice Telephone | 8033277264 |
| Mailing Telephone | 8033277264 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | MR. JOHNNIE GARMON II (CEO) |
| Authorized Official Telephone | 8003277264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Providece At Home | Doing Business As Name - Organization |
| Providence at Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROVIDENCE HOME HEALTH | 6410 Ne Halsey Ste 200, Portland, OR 97213 |
| System for Award Management (SAM) Entities | PROVIDENCE HOME HEALTH CARE INC | 425 Huehl Rd Bldg 20, Northbrook, IL 60062-2322 |
| Street Address |
500 LAKESHORE PKWY |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-4273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891005104 | Providence Care LLC | Hospice Care, Community Based | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2010-10-20 |
| 1356803563 | Ashley Thomas Ashford | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2019-04-05 |
| 1073005724 | Gerald Alfred Bracete | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2018-05-30 |
| 1306376199 | Tracie Young | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730 | 2017-06-14 |
| 1265976161 | Lasinda Orr | Dietitian, Registered | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2016-12-12 |
| 1205380987 | Amber Hinson | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2016-08-10 |
| 1346603941 | Jaclyn Plaice Wilson | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2016-03-31 |
| 1689912495 | Providence House Calls LLC | Family Medicine | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801411228 | Progressive Care Sc LLC | Home Health | 744 Arden Ln Ste 200, Rock Hill, SC 29732-3287 | 2020-06-11 |
| 1841857943 | Stellar Home Care Agency | Home Health | 1213 Ettrick Ave, Rock Hill, SC 29732-2987 | 2019-05-23 |
| 1669932521 | Calvin Odell Brown | Home Health | 1609 Tate Rd, Rock Hill, SC 29732-8588 | 2019-03-25 |
| 1609387497 | Carolinas Caregivers Enterprises, LLC | Home Health | 454 Anderson Rd S Ste 104, Rock Hill, SC 29730-3398 | 2017-10-19 |
| 1861910234 | Bayada Home Health Care, Inc. | Home Health | 454 Anderson Rd S Ste 320, Rock Hill, SC 29730-3398 | 2017-09-06 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| 1316493745 | Trust Me Home Care Services | Home Health | 1021 Robinwood Ct, Rock Hill, SC 29730 | 2016-08-26 |
| 1386002376 | Family First Home Healthcare | Home Health | 1464 Stroupe St, Rock Hill, SC 29730-4944 | 2016-02-04 |
| 1912399619 | Dream Chasers Home Health Care Agency | Home Health | 1002a Saluda St, Rock Hill, SC 29730-5748 | 2015-03-04 |
| 1669726725 | Compassionate Senior Homecare | Home Health | 1622 Ebenezer Rd, Rock Hill, SC 29732-1809 | 2012-10-28 |
| Find all providers in ROCK HILL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.