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

Active since January 29, 2013CLIA 42D2206017 · Waiver
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: August 09, 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 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
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

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.

Home Health
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Family)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Gerontology)
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Dietitian, Registered
500 LAKESHORE PKWY
ROCK HILL, SC 29730
Nurse Practitioner (Gerontology)
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
500 LAKESHORE PKWY
ROCK HILL, SC 29730

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.

Does Providence House Calls LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2206017) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Providence House Calls LLC accept?

Health plans from 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 6 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.