MEDICARE: ENTYRE CARE SOUTH CAROLINA LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	251E00000X	Home Health Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1942162599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENTYRE CARE SOUTH CAROLINA LLC

Provider Business Mailing Address
First Line	:	101 FEDERAL ST STE 2400
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02110-1817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 KING ST FL 3
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-7126
Country	:	US
Telephone Number	:	843-751-4650
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. BENEDIKT REIGER
Credential	:
Telephone Number	:	843-751-4650

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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