Healthcare Provider Details

I. General information

NPI: 1376486142
Provider Name (Legal Business Name): SC HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7033 SPANGLERS SPRING WAY
RALEIGH NC
27610-5272
US

IV. Provider business mailing address

1030 N ROGERS LN STE 121
RALEIGH NC
27610-6083
US

V. Phone/Fax

Practice location:
  • Phone: 919-247-5901
  • Fax:
Mailing address:
  • Phone: 919-247-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SHARON S CONYERS
Title or Position: OWNER
Credential:
Phone: 919-247-5901