IndividualActive
Roosevelt Stackhouse, RN
NPI 1225455074 · Home Health Registered Nurse · Florence, SC
Roosevelt Stackhouse, RN is a Home Health Registered Nurse provider in Florence, SC (NPI 1225455074).
Provider details
- NPI number
- 1225455074
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 37318 (SC)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1705 W Evans St
Florence, SC 29501-3331
Phone: (843) 774-1577
Fax: (843) 774-1047
Street-level locationGet directions
Mailing address
Po Box 648
Mullins, SC 29574-0648
Registry dates
- Enumerated
- 2014-03-18
- Last updated
- 2014-03-18
Frequently asked questions
- What is Roosevelt Stackhouse's NPI number?
- Roosevelt Stackhouse's National Provider Identifier (NPI) is 1225455074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roosevelt Stackhouse's specialty?
- Roosevelt Stackhouse is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse (Nursing Service Providers).
- Where is Roosevelt Stackhouse located?
- Roosevelt Stackhouse's practice location on file with NPPES is 1705 W Evans St, Florence, SC 29501-3331.
- What is Roosevelt Stackhouse's phone number?
- The practice phone number listed in the NPPES registry for Roosevelt Stackhouse is (843) 774-1577.
- Is Roosevelt Stackhouse's NPI active?
- Yes — Roosevelt Stackhouse's NPI (1225455074) is active in the NPPES registry as of the last update on 2014-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.