Healthcare Provider Details

I. General information

NPI: 1043443872
Provider Name (Legal Business Name): EMERICARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2009
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 SIMPSON RD
ANDERSON SC
29621-2157
US

IV. Provider business mailing address

311 SIMPSON RD
ANDERSON SC
29621-2157
US

V. Phone/Fax

Practice location:
  • Phone: 864-261-3875
  • Fax: 864-260-6363
Mailing address:
  • Phone: 864-261-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierNCF-0872
Identifier TypeOTHER
Identifier StateSC
Identifier IssuerSC DEPT OF HEALTH & ENVIRONMENTAL CONTROL

VIII. Authorized Official

Name: JOANNE K LESKOWICZ
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 414-918-5000