VNA OF GREATER BAMBERG, INC. (NPI# 1790842987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790842987 |
| Entity Type | Organization |
| Organization Name | VNA OF GREATER BAMBERG, INC. |
| Practice Address |
923 Midway St Bamberg SC 29003-1957 |
| Mailing Address |
923 Midway St Po Box 1048 Bamberg SC 29003-1957 |
| Practice Telephone | 8032455611 |
| Practice Fax Number | 8032453259 |
| Mailing Telephone | 8032455611 |
| Mailing Fax Number | 8032453259 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | MR. JAVY RUDOLPH GWALTNEY III (CFO) |
| Authorized Official Telephone | 8032455611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA-045 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 427030 | 05 |
| Street Address |
923 MIDWAY ST |
| City | BAMBERG |
| State | SC |
| Zip Code | 29003-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245527530 | James B. Jeffries | Pharmacist | 3518 Main Highway, Bamberg, SC 29003 | 2011-07-07 |
| 1730260118 | State of South Carolina | Public Health or Welfare | 370 Log Branch Road, Bamberg, SC 29003 | 2006-10-18 |
| 1265907224 | Sheryl Edgemon Gardner | Registered Nurse | 370 Log Branch Road, Bamberg, SC 29003 | 2018-10-05 |
| 1336566157 | Paula Boland | Public Health or Welfare | 370 Log Branch Rd, Bamberg, SC 29003 | 2014-03-19 |
| 1427117175 | Shannon T Stokes | Nurse Practitioner | 526 North St, Bamberg, SC 29003 | 2006-12-08 |
| 1679937106 | Tonie Anthony Holman Sr. | Non-emergency Medical Transport (VAN) | 142 Mcmillan St, Bamberg, SC 29003-1039 | 2016-04-11 |
| 1073560645 | Nra Bamberg South Carolina LLC | Clinic/Center | 2046 Main Hwy, Bamberg, SC 29003-1082 | 2006-05-28 |
| 1699796094 | Alton James Beaubeouf Jr. | Chiropractor | 3288 Railroad Ave, Bamberg, SC 29003-1084 | 2006-07-21 |
| 1588943021 | Edisto Regional Health Services Inc. | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2011-08-16 |
| 1306378310 | Low Country Health Care System | Clinic/Center | 185 Mcgee St, Bamberg, SC 29003-1154 | 2017-03-29 |
| Find all providers in zip 29003 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.