SANCTUARY HOME HEALTH AGENCY, LLC (NPI# 1063025872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063025872 |
| Entity Type | Organization |
| Organization Name | SANCTUARY HOME HEALTH AGENCY, LLC |
| Practice Address |
160 Medical Cir Ste C West Columbia SC 29169-3639 |
| Practice Telephone | 9126823430 |
| Practice Fax Number | 8037539227 |
| Mailing Telephone | 9126823430 |
| Mailing Fax Number | 8037539227 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | ANTOINETTE BELTON (CO-FOUNDER/BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 9126823430 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
160 MEDICAL CIR STE C |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| 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 |
|---|---|---|---|---|
| 1043856354 | Healthwise Personal Services, LLC | Home Health | 3039 Leaphart Rd, West Columbia, SC 29169-3050 | 2019-11-21 |
| 1063810364 | Lowcountry Nursing Group, LLC | Home Health | 3937 Sunset Blvd Ste F, West Columbia, SC 29169-2423 | 2014-12-18 |
| 1609277599 | Resilience Home Care, LLC | Home Health | 102 Villa Ct Apt D, West Columbia, SC 29170-1370 | 2014-09-10 |
| 1003227331 | Winyah Home Health Care, LLC | Home Health | 172 Mcswain Dr, Suite A, West Columbia, SC 29169-4804 | 2014-05-08 |
| 1245659127 | Tidewater Home Health, Pa | Home Health | 215 Medical Cir, West Columbia, SC 29169-3653 | 2014-04-08 |
| 1518207620 | Team Jayne, LLC | Home Health | 3955 Southeastern Way, Suite 1b, West Columbia, SC 29169-2427 | 2013-02-26 |
| 1942503982 | Blakemore & Dunn, Inc. | Home Health | 3214 Leaphart Rd, Suite C, West Columbia, SC 29169-3005 | 2010-12-14 |
| 1124012026 | Home Health of South Carolina Inc | Home Health | 193 Medical Cir, West Columbia, SC 29169-3655 | 2005-09-07 |
| 1033734371 | Ashton Goldsmith-webb | Home Health | 1053 Center St, Sc House Calls Inc., West Columbia, SC 29169 | 2020-06-12 |
| 1467099648 | Royalty Care Service LLC | Home Health | 1682 Batchelor St, West Columbia, SC 29169-5705 | 2019-12-05 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.