MEDICARE: HERE FOR YOU HOME HEALTHCARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1447949839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERE FOR YOU HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	213 GULLEDGE ST APT B
Second Line	:
City	:	MONCKS CORNER
State	:	SC
Zip	:	29461-3564
Country	:	US
Telephone Number	:	843-425-7482
Fax Number	:

Provider Business Practice Location Address
First Line	:	3236 LANDMARK DR STE 121
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-8490
Country	:	US
Telephone Number	:	843-425-7482
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	ALEXIS LASHELLE SALTERS
Credential	:
Telephone Number	:	843-425-7482

Provider Enumeration Date	:	05/02/2023
Last Update Date	:	05/02/2023

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