MEDICARE: ASCLEPIUS HOMECARE

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	:	1982552790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCLEPIUS HOMECARE

Provider Business Mailing Address
First Line	:	3037 MCNAUGHTON DR UNIT B-1
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1851
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3037 MCNAUGHTON DR UNIT B-1
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1851
Country	:	US
Telephone Number	:	803-760-6169
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN VAUGHAN
Credential	:
Telephone Number	:	803-760-6169

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “ASCLEPIUS HOMECARE ” Practice Location

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