DEDRA HARLEY (NPI# 1083251193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083251193 |
| Entity Type | Individual |
| Full Name | DEDRA HARLEY |
| Practice Address |
111 Pine Hvn Barnwell SC 29812-2820 |
| Practice Telephone | 8036862169 |
| Practice Fax Number | 8032593843 |
| Mailing Telephone | 8036862169 |
| Mailing Fax Number | 8032593843 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NONE | NONES | 01 |
| Street Address |
111 PINE HVN |
| City | BARNWELL |
| State | SC |
| Zip Code | 29812-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952261 | Heritage Healthcare System | Clinic/Center | 914 Reynolds Road, Barnwell, SC 29812 | 2017-06-21 |
| 1417335340 | Colleen Goodwin | Counselor | 1644 Jackson Street, Barnwell, SC 29812 | 2015-05-12 |
| 1205246550 | Lenzie Beasley Brant | Counselor | 916 Reynolds Road, Barnwell, SC 29812 | 2014-05-07 |
| 1366864902 | Janelle Pruett Beasley | Psychologist | 770 Hagood Ave, Barnwell, SC 29812 | 2014-01-16 |
| 1033419247 | Adrian Miller | Speech-Language Pathologist | 445 Calhoun St, Barnwell, SC 29812 | 2010-10-22 |
| 1346386802 | Joel Curtis Greene Jr. | Chiropractor | 11022 Ellenton Street, Barnwell, SC 29812 | 2007-01-30 |
| 1164598165 | Martin Layne Shealy | Chiropractor | 76 Irving Street, Barnwell, SC 29812 | 2006-11-28 |
| 1447331822 | State of South Carolina | Public Health or Welfare | 11015 Ellenton Street, Hwy 278, Barnwell, SC 29812 | 2006-10-18 |
| 1578659942 | Low Country Health Care System | Clinic/Center | 86 Wren St., Barnwell, SC 29812 | 2006-10-05 |
| 1891804928 | Dca of Barnwell LLC | Clinic/Center | 10708 Marlboro Avenue, Barnwell, SC 29812 | 2006-08-30 |
| Find all providers in zip 29812 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639687544 | Mary Louise Brown | Home Health Aide | 149 Charles St, Barnwell, SC 29812-1674 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083570 | Janelle Graham | Home Health Aide | 515 Cool Creek Dr, Rock Hill, SC 29732-7108 | 2020-11-06 |
| 1497356802 | True To You In-home Patient Care Services,llc | Home Health Aide | 305 E Smith St, Timmonsville, SC 29161-1821 | 2020-11-03 |
| 1659972909 | Sheila L Knight | Home Health Aide | 412 Waterville Dr, Columbia, SC 29229-8131 | 2020-11-03 |
| 1053912451 | Phillip Douglas Clark Sr. | Home Health Aide | 2126 Highway 9 E Unit 5b, Longs, SC 29568-5725 | 2020-11-03 |
| 1326645862 | Angel Hearts Co. LLC | Home Health Aide | 3656 S Irby St Ste C, Florence, SC 29505-5225 | 2020-10-07 |
| 1306443031 | Shanna Nicole Lewis | Home Health Aide | 214 Doby St, Camden, SC 29020-2312 | 2020-10-06 |
| 1306452636 | Pamela W Wiggins | Home Health Aide | 242 8th Ave, Aynor, SC 29511-3222 | 2020-09-22 |
| 1194331082 | Tamara M Grant | Home Health Aide | 1215 Canterbury Rd, Florence, SC 29505-2904 | 2020-09-17 |
| 1639784549 | Adwell Lerome Scott | Home Health Aide | 819 E Bonnie Ln, Florence, SC 29505-7102 | 2020-09-09 |
| 1447862206 | Deborah A Russell | Home Health Aide | 235 Herlong Ave S, Rock Hill, SC 29732-1159 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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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.