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Shanika Pendergrass

In Home Supportive Care in Ladson, SC. Individual provider (NPI-1).

NPI number1891644779
StatusActive
Last updated in NPPESJan 24, 2026

Details

NPI
1891644779
Entity type
Individual (NPI-1)
Name
Shanika Pendergrass
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2026
Certification date
Jan 24, 2026
Last updated
Jan 24, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive CareIHCP-2429SCYes

Practice location

108 Angie Ct
Ladson, SC 29456-4822

Phone 843-437-9782

Mailing address

108 Angie Ct
Ladson, SC 29456-4822

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other In Home Supportive Care Agency providers in Ladson, SC

All 8 In Home Supportive Care Agency providers in Ladson · All 460 providers in Ladson

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