PROVIDENCE HOUSE CALLS LLC (NPI# 1689912495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689912495 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOUSE CALLS LLC |
| Practice Address |
500 Lakeshore Pkwy Rock Hill SC 29730-4273 |
| Mailing Address |
Po Box 10984 Rock Hill SC 29731-0984 |
| Practice Telephone | 8038186955 |
| Practice Fax Number | 8038186993 |
| Mailing Telephone | 8033277264 |
| Mailing Fax Number | 8033277266 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | KAREN ELIZABETH TAYLOR (BILLING ADMINISTRATOR) |
| Authorized Official Telephone | 8033277264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 202 Wall St, Piedmont, SC 296736754 | 8642958714 | |
| 115 Southport Rd Ste J, Spartanburg, SC 293063814 | 8645956030 | 8645954020 |
| 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 |
| 1003374034 | Providence Home Health | Home Health | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2019-03-08 |
| 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 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977852 | Mcleod Physician Associates II | Internal Medicine | 800 E Cheves St Ste 400, Florence, SC 29506-2649 | 2020-06-22 |
| 1649639568 | Harry Feliciano | Internal Medicine | 415 Upland Trail Rd, Elgin, SC 29045-8214 | 2016-02-20 |
| 1396178547 | Palmetto Geriatrics, LLC | Internal Medicine | 107 S Franklin Dr, Florence, SC 29501-4364 | 2013-08-12 |
| 1558614628 | Palmetto Service Company LLC | Internal Medicine | 1831 W Evans St, 230, Florence, SC 29501-3333 | 2012-10-26 |
| 1235443938 | Soraya, Pa | Internal Medicine | 25 Appian Cir, Simpsonville, SC 29681-3654 | 2010-08-05 |
| 1588845598 | Wilner Medical Assoicates Pa | Internal Medicine | 251 W Palmetto St, Florence, SC 29501-4415 | 2007-11-19 |
| 1558575217 | Executive Court Medical Specialist P.C. | Internal Medicine | 997 Hwy 17 Business South, Suite C, Surfside Beach, SC 29575-6084 | 2007-05-10 |
| 1568582906 | Gail L Rearden | Internal Medicine | 1205 Wisteria Rd, Charleston, SC 29407-5226 | 2007-03-30 |
| 1194837716 | Neerja Bhardwaj | Internal Medicine | 317 St. Francis Dr., Ste 220, Greenville, SC 29601-3976 | 2006-08-31 |
| 1073529053 | Malissa Gail Wilson | Internal Medicine | 1308 Laurel Street, Palmetto Senior Care Laurel, Columbia, SC 29201 | 2006-07-31 |
| 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.