PROVIDENCE HOME HEALTH
NPI 1003374034
Home Health in Rock Hill, SC

NPI Status: Active since March 08, 2019

Contact Information

500 LAKESHORE PKWY
ROCK HILL, SC
ZIP 29730
Phone: (803) 818-6900

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 42D2176035
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 12-05-2025

About PROVIDENCE HOME HEALTH

This page provides the complete NPI Profile along with additional information for Providence Home Health, a provider established in Rock Hill, South Carolina operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1003374034 assigned on March 2019. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is Annette Distasi (Vp Operations)

NPI
1003374034
Provider Legal Name
PROVIDENCE HOME HEALTH
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
500 LAKESHORE PKWY ROCK HILL, SC 29730
Location Phone
(803) 818-6900
Mailing Address
500 LAKESHORE PKWY ROCK HILL, SC 29730
Mailing Phone
(803) 239-5392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2019
Last Update Date
02-13-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNETTE DISTASI

Authorized Official Title
VP OPERATIONS
Authorized Official Phone
(469) 619-8614

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2176035
Facility Type
Home Health Agency
Certificate Effective Date
December 06, 2023
Certificate Expiration Date
December 05, 2025
Laboratory Director
CATHERINE PRIDDY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Home Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PROVIDENCE HOME HEALTH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003374034, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 6 + 7 + 8 + 0 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003374034.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Dietitian, Registered
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Acute Care)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Gerontology)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Family)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Primary Care)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Gerontology)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Gerontology)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Internal Medicine (Geriatric Medicine)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Hospice Care, Community Based
500 LAKESHORE PKWY
ROCK HILL, SC 29730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003374034, enumerated as an "organization" on March 08, 2019.

The provider is located at 500 LAKESHORE PKWY ROCK HILL, SC 29730 and the phone number is (803) 818-6900.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.