Healthcare Provider Details

I. General information

NPI: 1730731209
Provider Name (Legal Business Name): SC HOMECARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 N MAIN ST STE C
ANDERSON SC
29621-4729
US

IV. Provider business mailing address

1214 N MAIN ST STE C
ANDERSON SC
29621-4729
US

V. Phone/Fax

Practice location:
  • Phone: 864-367-0330
  • Fax: 864-367-0714
Mailing address:
  • Phone: 864-367-0330
  • Fax: 864-367-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KELLI CALLAHAM
Title or Position: OFFICE MANAGER
Credential:
Phone: 864-367-0330