MEDICARE: NO PLACE LIKE HOME OF SOUTH CAROLINA INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1043633076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO PLACE LIKE HOME OF SOUTH CAROLINA INC

Provider Business Mailing Address
First Line	:	1172 OLD SALEM RD SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-5944
Country	:	US
Telephone Number	:	770-633-8550
Fax Number	:	770-825-9973

Provider Business Practice Location Address
First Line	:	107 NORTH ST
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-6058
Country	:	US
Telephone Number	:	770-633-8550
Fax Number	:	770-825-9973

Authorized Official
Title or Position	:	DIRECTOR OF ADMINISTRATION
Name	:	JESSICA LANE
Credential	:
Telephone Number	:	770-633-8550

Provider Enumeration Date	:	01/27/2014
Last Update Date	:	12/22/2016

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