PRISMA HEALTH-UPSTATE (NPI# 1538615653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538615653 |
| Entity Type | Organization |
| Organization Name | PRISMA HEALTH-UPSTATE |
| Other Organization Name | PRISMA HEALTH HOME HEALTH-UPSTATE |
| Practice Address |
440 Roper Mountain Rd Suite C Greenville SC 29615-4242 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4536 |
| Practice Telephone | 8645225350 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Telephone | 8645222286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA-0323 | SC | Agencies |
| Other Name | Type Code |
|---|---|
| GHS Home Health Agency | Doing Business As Name - Organization |
| Prisma Health Home Health-Upstate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207221 | Prisma Health-upstate | Anesthesiology | 905 Verdae Blvd Ste 102, Greenville, SC 29607-4029 | 2019-04-01 |
| 1760963243 | Prisma Health-upstate | General Acute Care Hospital | 112 John St Ste 104, Easley, SC 29640-1405 | 2018-08-23 |
| 1578044053 | Prisma Health-upstate | General Acute Care Hospital | 11402 Anderson Rd Ste B, Greenville, SC 29611-7560 | 2018-08-23 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1982159877 | Prisma Health-upstate | Clinic/Center | 741 Se Main St, Simpsonville, SC 29681-3237 | 2016-08-20 |
| 1205459443 | Prisma Health-upstate | Clinic/Center | 807 N Main St, Travelers Rest, SC 29690-1551 | 2020-05-22 |
| 1174161806 | Prisma Health-upstate | Clinic/Center | 11082 N Radio Station Rd, Seneca, SC 29678-1142 | 2019-12-12 |
| 1700424439 | Prisma Health-upstate | Clinic/Center | 12016 N Radio Station Rd, Seneca, SC 29678-1143 | 2019-12-12 |
| 1043857998 | Prisma Health-upstate | Clinic/Center | 103 Whitetail Dr, Walhalla, SC 29691-5837 | 2019-12-10 |
| 1932746815 | Prisma Health-upstate | Clinic/Center | 10110 Clemson Blvd, Seneca, SC 29678-0812 | 2019-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prisma Health-Upstate | 300 E Mcbee Ave Suite 500, Greenville, SC 29601 |
| Street Address |
440 ROPER MOUNTAIN RD SUITE C |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497729974 | Trudy Angela Quilty | Physical Therapist | 440 Roper Mountain Rd, Suite H2, Greenville, SC 29615-4242 | 2006-02-14 |
| 1508302274 | Julie Mccullough Evans | Speech-Language Pathologist | 440 Roper Mountain Rd, Greenville, SC 29615-4242 | 2017-01-18 |
| 1366497042 | Brian Enge | Physical Therapist | 440 Roper Mountain Rd, Ste H2, Greenville, SC 29615-4242 | 2006-05-23 |
| 1104876465 | Greenville Health System | Home Health | 440 Roper Mountain Rd, Suite C, Greenville, SC 29615-4242 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 | 29615 |
Please comment or provide details below to improve the information on PRISMA HEALTH-UPSTATE.
| 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.