STACEY DELENE MCCONICO (NPI# 1174152557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174152557 |
| Entity Type | Individual |
| Full Name | STACEY DELENE MCCONICO |
| Practice Address |
201 East Liberty Street Sumter SC 29150 |
| Practice Telephone | 8037571238 |
| Practice Fax Number | 8037571238 |
| Mailing Telephone | 8037571238 |
| Mailing Fax Number | 8037571238 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
201 EAST LIBERTY STREET |
| City | SUMTER |
| State | SC |
| Zip Code | 29150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1144639386 | Danyelle Nicole Hayes | Audiologist | 1116-f Alice Drive, Sumter, SC 29150 | 2014-08-12 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404437 | Brooklyn Mitchell | Adult Companion | 1595 Lewis Rd, Sumter, SC 29154-7351 | 2019-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829888 | Rodseline Ann Graffreaid | Adult Companion | 716 E Fairfield Rd Ste 110, Greenville, SC 29605-3688 | 2020-10-23 |
| 1205464484 | Latricia Trapp | Adult Companion | 7356 Garners Ferry Rd Ste 114, Columbia, SC 29209-2146 | 2020-04-01 |
| 1265064679 | Cater To Needs | Adult Companion | 300 John St Ste 6b, Greer, SC 29651-1463 | 2020-02-04 |
| 1558992107 | Jasmin Simone Morris | Adult Companion | 112 Thomas Ranch Rd, Union, SC 29379-8037 | 2020-02-03 |
| 1972134542 | Icare Home Solutions, LLC | Adult Companion | 1501 Belle Isle Ave, Suite 110, Mount Pleasant, SC 29464-8379 | 2020-01-31 |
| 1982252052 | Sheena Locklear | Adult Companion | 560 Preston Brook Dr, Catawba, SC 29704-9711 | 2019-08-30 |
| 1780238394 | Michaelas Angelic Caregivers LLC | Adult Companion | 455 St Andrews Rd Bldg D, Suite 3a, Columbia, SC 29210-4486 | 2019-07-31 |
| 1811556848 | Mi'angels Caretakers LLC | Adult Companion | 942 Dougherty Rd Ste C, Aiken, SC 29803-6559 | 2019-06-12 |
| 1891258455 | Natalie Hagood | Adult Companion | 1106 Avalon Chase Cir, Greer, SC 29650-1075 | 2019-04-10 |
| 1548746746 | Carol Denise Tindal | Adult Companion | 214c W Boyce St, Manning, SC 29102-3005 | 2018-07-11 |
| 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.