AT HOME SENIOR CARE — NPI 1104212802 (CMS-Certified Home Health Care & Skilled Nursing Agency in NEWBERRY, SC)

CMS-1500 Box 24J / 33a • NPI

1104212802

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251E00000X (CMS A4[11])

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

1700 MAIN ST, NEWBERRY, SC, 29108-3548

✓ 9-Digit EDI 837 ZIP+4 (29108-3548)

Practice Phone & Referral Fax

(803) 801-0611

Fax: (803) 753-9391

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104212802 (AT HOME SENIOR CARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104212802` (NPI-2 Organization / Facility)
Provider / Legal Name	AT HOME SENIOR CARE
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `251E00000X` (Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	1700 MAIN ST, NEWBERRY, SC, 29108-3548
Practice Telephone / Fax	Tel: (803) 801-0611 \| Fax: (803) 753-9391
Administrative Mailing Address	1700 MAIN ST, NEWBERRY, SC, 29108-3548
Enumeration & Last Sync	Enumerated: 2015-04-09 \| CMS Record Updated: 2015-04-09
Authorized Official	RUBIE WILLIAMS (RN Supervisor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1700 MAIN ST, NEWBERRY, SC, 29108-3548

🗺️ Open in Google Maps 🏥 More Providers in NEWBERRY

🔒 Are you AT HOME SENIOR CARE? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (251E00000X)

What Does Taxonomy Code 251E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A4[11] (Home Health Agency) • CMS Code A4[11] (Home Health Agency (Subunit))
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AT HOME SENIOR CARE)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: SC \| License: `92255` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

AT HOME SENIOR CARE (NPI #1104212802)