Healthcare Provider Details

I. General information

NPI: 1992453005
Provider Name (Legal Business Name): CAREON HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 AVINGTON CT, COLUMBIA, SC, 29229
COLUMBIA SC
29229
US

IV. Provider business mailing address

140 WILDEWOOD PARK DR STE 106
COLUMBIA SC
29223-4312
US

V. Phone/Fax

Practice location:
  • Phone: 803-413-6686
  • Fax:
Mailing address:
  • Phone: 803-849-0036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON COOK-MCEWEN
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 803-413-6686