MIRANDA D CHALK (NPI# 1457861726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457861726 |
| Entity Type | Individual |
| Full Name | MIRANDA D CHALK |
| Credential | RN |
| Practice Address |
199 Spartanburg Hwy Lyman SC 29365-1601 |
| Mailing Address |
7281 New Cut Rd Inman SC 29349-7157 |
| Practice Telephone | 8648043002 |
| Mailing Telephone | 8648043002 |
| Mailing Fax Number | 8644853115 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | IHCP-0717 | SC | Agencies |
| Street Address |
199 SPARTANBURG HWY |
| City | LYMAN |
| State | SC |
| Zip Code | 29365-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255842621 | A Remedy Home Care | Respite Care | 199 Spartanburg Hwy, Lyman, SC 29365-1601 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203813 | Stephanie Walker | Nurse Practitioner | 1295 Old Spartanburg Hwy, Careteam Health, Lyman, SC 29365 | 2014-11-21 |
| 1013356161 | Tyger River Pediatric Dentistry | Dentist | 312 Spartanburg Hwy., Lyman, SC 29365 | 2013-06-21 |
| 1649436791 | Ashlan Village Retirement Community | Assisted Living Facility | 415 Brenda Way, Lyman, SC 29365 | 2008-07-29 |
| 1538379086 | Lyman Dental Associates PC | Dentist | 301 Old Spartanburg Rd., Lyman, SC 29365 | 2007-05-23 |
| 1437297462 | Tina Louise Gaudiano | Counselor | 84 Groce Rd, Lyman, SC 29365 | 2007-02-02 |
| 1255477014 | Cathy Ford Sparks | Counselor | Middle Tyger Community Center, 84 Grace Rd, Lyman, SC 29365 | 2007-01-29 |
| 1194828657 | Kirk E Houston Dmd Pa | Dentist | 12313 Greenville Highway, Lyman, SC 29365 | 2006-09-07 |
| 1245347210 | Grady Stoddard Brooks Jr. | Dentist | 301 Old Spartanburg Road, Lyman, SC 29365 | 2006-08-24 |
| 1750494894 | Brian Kingston Armstrong | Dentist | 350 S Spartanburg Hwy, Lyman, SC 29365 | 2006-08-15 |
| 1164456075 | John Blair Pierce | Physical Therapy Assistant | 104 Gwendolyn Aevnue, Lyman, SC 29365 | 2006-07-10 |
| Find all providers in zip 29365 | ||||
| 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 |
|---|---|---|---|---|
| 1518364215 | All Care Residential LLC. | In Home Supportive Care | 361 Butler Rd, Lyman, SC 29365-9668 | 2014-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649195 | Lizzie's Recovery House LLC | In Home Supportive Care | 312 Quiet Creek Rd, Blythewood, SC 29016-7193 | 2020-11-06 |
| 1134729874 | Jjp In-home Care Agency, LLC | In Home Supportive Care | 787 Marsh Wren Trl, Blythewood, SC 29016-7331 | 2020-10-30 |
| 1578163572 | Sincerely Divine Home Care LLC | In Home Supportive Care | 3618 Ashley Phosphate Rd Ste 3, North Charleston, SC 29418-8586 | 2020-10-28 |
| 1336747138 | Angels Helping Hands | In Home Supportive Care | 1640 Ribaut Rd, Apt. 132, Port Royal, SC 29935 | 2020-10-14 |
| 1164020285 | The Denmar Group LLC | In Home Supportive Care | 8720 Windsor Lake Blvd Apt 1022, Columbia, SC 29223-2619 | 2020-10-12 |
| 1467059485 | True Hearts Homecare LLC | In Home Supportive Care | 8 Sycamore Dr Ste E6, Greenville, SC 29607-2966 | 2020-10-02 |
| 1821605510 | Salina Laqueesta Jones | In Home Supportive Care | 1344 Freer St, Charleston, SC 29412-8123 | 2020-09-26 |
| 1710593710 | Emotions Care Services LLC | In Home Supportive Care | 1 Chick Springs Rd Ste I, Greenville, SC 29609-4946 | 2020-09-16 |
| 1104430339 | True Konnections Home Care LLC | In Home Supportive Care | 5 Clusters Ct Ste 112, Columbia, SC 29210-4831 | 2020-09-04 |
| 1417560293 | E&l Colonial LLC | In Home Supportive Care | 1156 Bowman Rd Unit 200, Mt Pleasant, SC 29464-3858 | 2020-08-31 |
| 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.