STATE OF SOUTH CAROLINA (NPI# 1588682447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588682447 |
| Entity Type | Organization |
| Organization Name | STATE OF SOUTH CAROLINA |
| Other Organization Name | SC DHEC LOWCOUNTRY HOME HEALTH SERVICES |
| Practice Address |
219 S Lemacks St Walterboro SC 29488-4374 |
| Practice Telephone | 8435255917 |
| Practice Fax Number | 8435217621 |
| Mailing Telephone | 8435255917 |
| Mailing Fax Number | 8435217621 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | MR. LEE A KIRKPATRICK (DIRECTOR/HOME HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 8035762916 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA-011 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | UNISON HEALTH PLAN OF SC | 153552 | 01 |
| SC | 272837 | 05 | |
| SC | SELECT HEALTH PROVIDER | 20021667 | 01 |
| Other Name | Type Code |
|---|---|
| SC DHEC Lowcountry Home Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972651503 | State of South Carolina | Community/Behavioral Health | 101 Executive Center Dr, Suite 215, Columbia, SC 29210-8411 | 2007-01-08 |
| 1407913874 | State of South Carolina | Clinical Medical Laboratory | 8231 Parklane Rd, Columbia, SC 29223-4903 | 2007-01-03 |
| 1902975733 | State of South Carolina | Public Health or Welfare | 206 Airport Ct, Suite B, Mullins, SC 29574-6196 | 2006-11-07 |
| 1184793929 | State of South Carolina | Public Health or Welfare | 711 S Parsonage St, Bennettsville, SC 29512-4423 | 2006-11-07 |
| 1033295035 | State of South Carolina | Public Health or Welfare | 1736 S Main St, Greenwood, SC 29646-4124 | 2006-10-31 |
| 1699851667 | State of South Carolina | Public Health or Welfare | 810 Brown Street, Bishopville, SC 29010 | 2006-10-31 |
| 1114003530 | State of South Carolina | Public Health or Welfare | 1136 Kincaid Bridge Road, Winnsboro, SC 29180 | 2006-10-27 |
| 1841375128 | State of South Carolina | Public Health or Welfare | 1070 S Lake Dr, Suite B, Lexington, SC 29073-3701 | 2006-10-26 |
| 1962587212 | State of South Carolina | Public Health or Welfare | 609 N Townville St, Seneca, SC 29678-2642 | 2006-10-26 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| Street Address |
219 S LEMACKS ST |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285689489 | Peggy Murray Phalen | Nurse Practitioner | 219 S Lemacks St, Colleton County Health Dept, Walterboro, SC 29488-4371 | 2006-05-24 |
| 1093356222 | Nicole Denise Ross | Nursing Care | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2019-09-29 |
| 1972078772 | Cynthia Goodman | Licensed Practical Nurse | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2018-10-08 |
| 1831628890 | Mylinda Louise O'quinn | Registered Nurse | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2017-06-05 |
| 1124563648 | Jessica Benton Altman | Nurse Practitioner | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2016-12-20 |
| 1295284974 | Megan Brett | Dietitian, Registered | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2016-09-23 |
| 1407274632 | Moya Pierce | Registered Nurse | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2014-04-04 |
| 1437577087 | Tina Marie Rumph | Registered Nurse | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2014-04-01 |
| 1275959280 | Nancy A Burnham | Registered Nurse | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2014-03-14 |
| 1447333679 | State of South Carolina | Public Health or Welfare | 219 S Lemacks St, Walterboro, SC 29488-4371 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| 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 |
|---|---|---|---|---|
| 1407221401 | Capital Care Resources of South Carolina, LLC | Home Health | 415 Robertson Blvd Ste E, Walterboro, SC 29488-5713 | 2015-12-02 |
| 1649812728 | Priority Home Care LLC | Home Health | 1104 N Jefferies Blvd, Walterboro, SC 29488-2730 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487253 | True Vine Home Care Agency LLC | Home Health | True Vine Home Care LLC Agency, 113 South High Way 52 Ste E, Monchs Corner, SC 29461-3956 | 2020-11-02 |
| 1093315798 | Sharia Henderson | Home Health | 680 Grover Dr, Lyman, SC 29365-9251 | 2020-10-30 |
| 1861091654 | Tenacious Health Care Associates LLC | Home Health | 212 Evergreen St # B, Easley, SC 29642-1415 | 2020-10-22 |
| 1003414616 | Mcleod Home Care, LLC | Home Health | 949 E Main St Ste A, Lexington, SC 29072-4240 | 2020-10-15 |
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1710584842 | True Care Home Care LLC | Home Health | 900b Main St Ste 201, Conway, SC 29526-4063 | 2020-10-01 |
| 1750998076 | Loving Home Care LLC | Home Health | 2250 Peach Orchard Rd, Sumter, SC 29154-1112 | 2020-09-30 |
| 1316554728 | Rosiland Sullivan | Home Health | 8 Sycamore Dr Ste B6, Greenville, SC 29607-2965 | 2020-09-29 |
| 1013524503 | Teia Avery | Home Health | 437 Talbert Rd Apt B3, Mc Cormick, SC 29835-6269 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
Please comment or provide details below to improve the information on STATE OF SOUTH CAROLINA.
| 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.