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

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0300X and a focus in Geriatric Medicine.

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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 holds a CLIA Waiver certificate valid through December 16, 2026, 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

Phone(803) 818-6955

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2206017

Providence Care House Calls, LLC · Rock Hill, SC

Active · expires Dec 16, 2026

CLIA Number42D2206017

Laboratory TypePractitioner Other

Certificate Effective DateDecember 17, 2024

Certificate Expiration DateDecember 16, 2026

Laboratory DirectorLenora Anstey

Laboratory Phone(803) 327-7264

Laboratory LocationProvidence Care House Calls, LLC500 Lakeshore Parkway, Rock Hill, SC 29730

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER HINSON FNP-C

Nurse Practitioner (Family)