DAHYOJENDAYI L FULLWOOD (NPI# 1669086112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669086112 |
| Entity Type | Individual |
| Full Name | DAHYOJENDAYI L FULLWOOD |
| Practice Address |
3236 Landmark Dr Ste 121 North Charleston SC 29418-8490 |
| Mailing Address |
7620 Rivers Ave Suite 370 Pmb#155 North Charleston SC 29406-5008 |
| Practice Telephone | 8664911636 |
| Practice Fax Number | 8437374896 |
| Mailing Telephone | 8664911636 |
| Mailing Fax Number | 8437374896 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | IHCP-1297 | SC | Nursing Service Related Providers |
| N | 373H00000X | Day Training/Habilitation Specialist | IHCP-1297 | SC | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | IHCP-1297 | SC | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | IHCP-1297 | SC | Nursing Service Related Providers |
| N | 385H00000X | Respite Care | IHCP-1297 | SC | Respite Care Facility |
| Y | 253Z00000X | In Home Supportive Care | IHCP-1297 | SC | Agencies |
| Street Address |
3236 LANDMARK DR STE 121 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418-8490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163572 | Sincerely Divine Home Care LLC | In Home Supportive Care | 3618 Ashley Phosphate Rd Ste 3, North Charleston, SC 29418-8586 | 2020-10-28 |
| 1376069062 | Carolina Personal Touch | In Home Supportive Care | 6296 Rivers Ave Ste 303, North Charleston, SC 29406-4973 | 2017-08-15 |
| 1104361765 | Ebony Mungin | In Home Supportive Care | 3058 Rollins Ct, North Charleston, SC 29406-9776 | 2017-01-05 |
| 1588994966 | We Care Home Care | In Home Supportive Care | 7301 Rivers Avenue, Suite 190, North Charleston, SC 29406-4698 | 2010-01-06 |
| 1417572660 | S.family Homecare | In Home Supportive Care | 4000 Faber Place Dr, North Charleston, SC 29405-8585 | 2020-06-13 |
| 1770136327 | Meca Home Health LLC | In Home Supportive Care | 3058 Rollins Ct, North Charleston, SC 29406-9776 | 2019-07-23 |
| 1811460033 | Heavenly Heart Home Care LLC | In Home Supportive Care | 3236 Landmark Dr Ste 105, North Charleston, SC 29418-8490 | 2019-01-10 |
| 1609380203 | Home Care and Wellness Solutions, LLC | In Home Supportive Care | 6650 Rivers Ave, North Charleston, SC 29406-4809 | 2017-11-20 |
| 1578004388 | Duke Milestone Investments, Inc | In Home Supportive Care | 3294 Ashley Phosphate Rd, Suite 1b, North Charleston, SC 29418-8465 | 2017-03-13 |
| 1659817914 | A Friend for Life, LLC | In Home Supportive Care | 7013 Dorchester Rd, North Charleston, SC 29418-3407 | 2017-01-11 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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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.