NURSE630 LLC
NPI 1841855582
Home Health in Greenville, SC

Q: What is Nurse630 LLC's NPI number?

The NPI number for Nurse630 LLC is 1841855582. It was assigned to this organization in the NPPES registry on May 8, 2019.

Q: What is Nurse630 LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: When was this NPI record last updated?

The NPPES record for Nurse630 LLC was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since May 08, 2019

3505 PELHAM RD STE B, GREENVILLE, SC 29615(864) 670-5267 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nurse630 Llc NPPES

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

NURSE630 LLC (NPI 1841855582) is a healthcare organization registered as a home health in Greenville, South Carolina and active in the NPI registry since May 2019. The organization lists Tykeba Williams, Owner/ Director, as its authorized official.

NPPES Registry Identity

NPI1841855582

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameNURSE630 LLC

Location Address3505 PELHAM RD STE BGreenville, SC 29615-4154

Mailing Address429 N Ivestor CtInman, SC 29349-7213 · (404) 821-7210

Phone(864) 670-5267

Organization SubpartNo

Authorized OfficialTykeba WilliamsOwner/ Director · (864) 670-5267

Enumeration DateMay 8, 2019

✔ NPI 1841855582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

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.

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X

3505 PELHAM RD STE B, Greenville, SC 29615

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

INNER SELF CARE, LLC

Nurse Practitioner (Psychiatric/Mental Health)