ACTIVE SC PCA, INC. (NPI# 1336353499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336353499 |
Entity Type | Organization |
Organization Name | ACTIVE SC PCA, INC. |
Other Organization Name | ACTIVE NURSING SERVICES OF GREENVILLE |
Practice Address |
21 Mcbeth St Greenville SC 29611-3548 |
Mailing Address |
7 Neshaminy Interplex Dr Suite 403 Trevose PA 19053-6927 |
Practice Telephone | 8644672180 |
Practice Fax Number | 8644672167 |
Mailing Telephone | 2156426600 |
Mailing Fax Number | 2156426610 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2011-12-05 |
Authorized Official Name | CRAIG MEHNERT (COO) |
Authorized Official Telephone | 2156426600 |
Is Organization Subpart | Y |
Parent Organization Name | ACTIVE DAY, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | EX0626 | 05 |
Other Name | Type Code |
---|---|
Active Nursing Services of Greenville | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730223751 | Active Sc PCa, Inc. | Home Health | 930 Oswego Hwy, Sumter, SC 29153-8733 | 2007-02-16 |
1578604054 | Active Sc PCa, Inc. | Home Health | 228 N Creek Blvd, Greenwood, SC 29649-9006 | 2007-02-09 |
1023158151 | Active Sc PCa, Inc. | Home Health | 104 Springhall Dr, Goose Creek, SC 29445-5335 | 2007-02-07 |
1306923719 | Active Sc PCa, Inc. | Home Health | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
Street Address |
21 MCBETH ST |
City | GREENVILLE |
State | SC |
Zip Code | 29611-3548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679613038 | Acsr, Inc. | Respite Care | 21 Mcbeth St, Greenville, SC 29611-3548 | 2007-02-07 |
1891226098 | Brooke Morgan | Occupational Therapist | 21 Mcbeth St, Greenville, SC 29611-3548 | 2017-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
Find all providers in zip 29611 |
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 |
---|---|---|---|---|
1316554728 | Rosiland Sullivan | Home Health | 8 Sycamore Dr Ste B6, Greenville, SC 29607-2965 | 2020-09-29 |
1326654716 | Taylor Kae Daniels | Home Health | 628 Martin St, Greenville, OH 45331-1829 | 2020-09-21 |
1528674140 | Paulette Kennedy | Home Health | 38 Little John Dr, Greenville, OH 45331-9794 | 2020-09-18 |
1497363139 | Simple Brands LLC | Home Health | 128 Millport Cir Ste 247, Greenville, SC 29607-5571 | 2020-07-20 |
1336763580 | Infinite Love Care Agency | Home Health | 125 Commons Way Ste C, Greenville, SC 29611-3850 | 2020-06-03 |
1396392395 | Compassion Companions Healthcare LLC | Home Health | 7 Mariscat Pl, Greenville, SC 29605-5987 | 2019-08-23 |
1760036404 | Necessity Care, LLC | Home Health | 110 E Arlington Blvd Ste C, Greenville, NC 27858-5012 | 2019-07-31 |
1831743285 | Albany Allen | Home Health | 2320 E North St Ste Office10, Greenville, SC 29607-1247 | 2019-07-24 |
1508425240 | Lending A Hand In Home Care | Home Health | 44 Pine Knoll Dr Ste H3, Greenville, SC 29609-3251 | 2019-06-06 |
1487219812 | At Home Professional Care of Sc LLC | Home Health | 1 Chick Springs Rd Ste 102a, Greenville, SC 29609-4946 | 2019-05-01 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29611 |
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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.