Healthcare Provider Details

I. General information

NPI: 1043060890
Provider Name (Legal Business Name): CALHOUN HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MARKET PLACE DR
ANDERSON SC
29621-1325
US

IV. Provider business mailing address

111 MARKET PLACE DR
ANDERSON SC
29621-1325
US

V. Phone/Fax

Practice location:
  • Phone: 864-387-7123
  • Fax: 864-359-2225
Mailing address:
  • Phone: 864-387-7123
  • Fax: 864-359-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHADIYA JOHNSON
Title or Position: ADMIN
Credential:
Phone: 864-387-7123