Healthcare Provider Details

I. General information

NPI: 1023945896
Provider Name (Legal Business Name): SUPPORTIVE HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 SOLSTICE MEADOW LN
AIKEN SC
29803-8996
US

IV. Provider business mailing address

2126 SOLSTICE MEADOW LN
AIKEN SC
29803-8996
US

V. Phone/Fax

Practice location:
  • Phone: 803-761-7025
  • Fax:
Mailing address:
  • Phone: 803-761-7025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. HANNAH WASHINGTON WILLIAMS
Title or Position: OWNER
Credential: DNP, RN, CNE
Phone: 803-761-7025