PROVIDENCE HOUSE CALLS LLC
NPI 1689912495
Internal Medicine - Geriatric Medicine in Rock Hill, SC

Active since January 29, 2013
500 LAKESHORE PKWY, ROCK HILL, SC 29730(803) 818-6955(803) 818-6993 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2022, Apr 27, 2022, Aug 2, 2019 and 3 more (6 updates tracked since 2017).

About Providence House Calls Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOUSE CALLS LLC (NPI 1689912495) is a healthcare organization registered as a geriatric medicine in Rock Hill, South Carolina and active in the NPI registry since January 2013. The organization maintains a secondary practice location in Simpsonville and lists Beth Taylor, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1689912495
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePROVIDENCE HOUSE CALLS LLC
Location Address500 LAKESHORE PKWYRock Hill, SC 29730-4273
Mailing AddressPo Box 10984Rock Hill, SC 29731-0984 · (844) 628-2273 · Fax (803) 372-5911
Fax(803) 818-6993
Organization SubpartNo
Authorized OfficialBeth TaylorBilling Administrator · (803) 372-5884
Enumeration DateJanuary 29, 2013
Last NPPES UpdateFebruary 13, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1689912495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
500 LAKESHORE PKWY, Rock Hill, SC 29730

Secondary Practice Location 1

Location 1634 Fairview RdSimpsonville, SC 29680-6707 · Phone (864) 881-8777 · Fax (864) 757-9484

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence House Calls Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

60

Medicare enrollment records show 60 clinicians reassign Medicare billing to Providence House Calls LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner44
Internal Medicine7
Family Practice4
General Surgery1
Geriatric Medicine1
Hospitalist1
Nephrology1
Rheumatology1

Nearest to this location (20)

See all 60
Nurse Practitioner
NPI 1407427396
500 LAKESHORE PKWY
Rock Hill, SC 29730
(803) 327-7264
✔ PECOSSame address
Nurse Practitioner
NPI 1801666110
500 LAKESHORE PKWY
Rock Hill, SC 29730
(803) 818-6900
✔ PECOSSame address
Nurse Practitioner
NPI 1861403164
500 LAKESHORE PKWY
Rock Hill, SC 29730
(803) 818-6900
✔ PECOSSame address
Nurse Practitioner
NPI 1376116814
500 LAKESHORE PKWY STE 200
Rock Hill, SC 29730
(803) 818-6900
✔ PECOSSame address
Nurse Practitioner
NPI 1427699297
500 LAKESHORE PKWY
Rock Hill, SC 29730
(803) 818-6955
✔ PECOSSame address
Nurse Practitioner
NPI 1053954438
1131 SALUDA ST
Rock Hill, SC 29730
(803) 325-7744
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1518328418
1926 INDIA HOOK RD
Rock Hill, SC 29732
(704) 904-3367
✔ PECOS2.9 mi
Nurse Practitioner
NPI 1073980652
222 S HERLONG AVE
Rock Hill, SC 29732
(803) 329-1234
✔ PECOS3.0 mi
Nephrology
NPI 1780345991
1436 RIVERCHASE BLVD
Rock Hill, SC 29732
(803) 329-2636
✔ PECOS3.2 mi
Nurse Practitioner
NPI 1033693387
2275 INDIA HOOK RD
Rock Hill, SC 29732
(803) 329-1500
✔ PECOS3.3 mi
Nurse Practitioner
NPI 1770881195
222 HERLONG AVE S
Rock Hill, SC 29732
(803) 329-1234
✔ PECOS3.3 mi
Family Practice
NPI 1194994210
100 MAIN ST STE 204
Fort Mill, SC 29715
(803) 369-6255
✔ PECOS6.0 mi
Internal Medicine
NPI 1740288323
1040 EDGEWATER CORP PKWY STE 101
Indian Land, SC 29707
(803) 548-7007
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1215562533
1061 RED VENTURES DR STE 130
Fort Mill, SC 29707
(704) 375-0100
✔ PECOS9.9 mi
General Surgery
NPI 1497731442
1736 OLD YORK RD
York, SC 29745
(803) 818-6955
✔ PECOS12 mi
Internal Medicine
NPI 1851417729
1736 OLD YORK RD
York, SC 29745
(803) 818-6955
✔ PECOS12 mi
Nurse Practitioner
NPI 1063003440
7845 LITTLE AVE
Charlotte, NC 28226
(704) 375-0100
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1528679982
2501 MISSION RD
York, SC 29745
(803) 242-7492
✔ PECOS18 mi
Family Practice
NPI 1780690503
2030 WINDSOR RUN LN
Matthews, NC 28105
(704) 443-6250
✔ PECOS19 mi
Family Practice
NPI 1891955969
1201 COLONIAL COMMONS AGAPE PHYSICIANS CARE
Lancaster, SC 29720
(803) 207-8200
✔ PECOS19 mi
See all 60 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence House Calls LLC's NPI number?

The NPI number for Providence House Calls LLC is 1689912495. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Providence House Calls LLC located?

Providence House Calls LLC is located at 500 Lakeshore Pkwy, Rock Hill, SC 29730. The listed phone number is (803) 818-6955.

What is Providence House Calls LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Providence House Calls LLC enrolled in Medicare?

Yes. Providence House Calls LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence House Calls LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 8 Medicare specialties reassign their Medicare billing to Providence House Calls LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (44), Internal Medicine (7) and Family Practice (4). Of these, 5 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence House Calls LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Providence House Calls LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence House Calls LLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.