MEDICARE: DANA SIMMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	105234	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER		VETERAN

General Provider Information

NPI Number	:	1972221570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA SIMMONS

Provider Business Mailing Address
First Line	:	221 SAINT JAMES AVE STE 13A
Second Line	:
City	:	GOOSE CREEK
State	:	SC
Zip	:	29445-3270
Country	:	US
Telephone Number	:	843-793-2588
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 SAINT JAMES AVE STE 13A
Second Line	:
City	:	GOOSE CREEK
State	:	SC
Zip	:	29445-3270
Country	:	US
Telephone Number	:	843-793-2588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	08/19/2022

Similar Medicare Providers

1689505844 — HAND IN HAND COUNSELING AND REHABILITATION SERVICES LLC
Practice Location Address:

221 SAINT JAMES AVE STE 17A
GOOSE CREEK, SC
29445-3270

Practice Phone: 815-543-2388
Practice Fax:

1396340899 — MRS. PATRICIA L. P. RAYNOR
Practice Location Address:

221 SAINT JAMES AVE STE 3
GOOSE CREEK, SC
29445-3270

Practice Phone: 843-879-1802
Practice Fax:

1326769639 — DIVINE CARE AT HOME
Practice Location Address:

221 SAINT JAMES AVE STE 13A
GOOSE CREEK, SC
29445-3270

Practice Phone: 843-793-2588
Practice Fax: 843-407-3036

1154122646 — JACQUELINE WILLIAMS
Practice Location Address:

221 SAINT JAMES AVE STE 6
GOOSE CREEK, SC
29445-3270

Practice Phone: 843-324-4932
Practice Fax:

1700672441 — FRIENDLY HANDS NURSING AGENCY
Practice Location Address:

221 SAINT JAMES AVE STE 2
GOOSE CREEK, SC
29445-3270

Practice Phone: 843-377-8576
Practice Fax: 843-377-8575

1629961560 — VIRGINIA NELSON
Practice Location Address:

221 SAINT JAMES AVE STE 2
GOOSE CREEK, SC
29445-3270

Practice Phone: 843-377-8576
Practice Fax: 843-377-8575

Directions to “ DANA SIMMONS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.