Healthcare Provider Details

I. General information

NPI: 1114646429
Provider Name (Legal Business Name): A&T CARE NURSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 E FRANKLIN ST
MONROE NC
28112-5702
US

IV. Provider business mailing address

207 W SUMTER ST
KERSHAW SC
29067-1422
US

V. Phone/Fax

Practice location:
  • Phone: 803-287-6801
  • Fax: 803-475-9868
Mailing address:
  • Phone: 803-287-6801
  • Fax: 803-475-9868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMELIA BARBER
Title or Position: OWNER
Credential:
Phone: 803-287-6801