HOUSE OF MAGNOLIA'S HOME HEALTH AGENCY LLC (NPI# 1134774938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134774938 |
| Entity Type | Organization |
| Organization Name | HOUSE OF MAGNOLIA'S HOME HEALTH AGENCY LLC |
| Practice Address |
1802 W Highway 378 Gresham SC 29546-4080 |
| Practice Telephone | 8434965223 |
| Mailing Telephone | 8434965223 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | SHANAY BURCH (OWNER / DIRECTOR) |
| Authorized Official Telephone | 8434965223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
1802 W HIGHWAY 378 |
| City | GRESHAM |
| State | SC |
| Zip Code | 29546-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467007252 | Shanay Burch | Home Health Aide | 1802 W Highway 378, Gresham, SC 29546-4080 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972903045 | Cheryl Conner | Rehabilitation Counselor | 223 Gresham Rd, Gresham, SC 29546-5173 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1962000554 | Dawn Marks | Peer Specialist | 21440 Se Stark St, Gresham, OR 97030-2024 | 2020-10-15 |
| 1730794306 | Capri Parker | Midwife | 815 Se 223rd Ave Apt 1, Gresham, OR 97030-2540 | 2020-09-10 |
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1023629185 | Bethany Joy Loehrke | Midwife | 314 Se Beech Ave, Gresham, OR 97080-7723 | 2020-08-12 |
| 1407464852 | Home Health Heroes LLC | In Home Supportive Care | 1107 Nw 15th St Apt 214, Gresham, OR 97030-4899 | 2020-07-21 |
| 1811515760 | Dezerre Munoz | Dental Assistant | 600 Ne 8th St Ste 200, Gresham, OR 97030-7317 | 2020-07-08 |
| 1760008684 | Rsl Gresham, LLC | Alzheimer Center (Dementia Center) | 1655 Ne 18th St, Gresham, OR 97030-4113 | 2020-06-17 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| Find all providers in GRESHAM | ||||
| 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 |
|---|---|---|---|---|
| 1467007252 | Shanay Burch | Home Health Aide | 1802 W Highway 378, Gresham, SC 29546-4080 | 2019-08-07 |
| 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.