Healthcare Provider Details

I. General information

NPI: 1124591862
Provider Name (Legal Business Name): SHELIA'S HELPING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 03/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 EASTBOURNE CT
COLUMBIA SC
29223-6711
US

IV. Provider business mailing address

2052 INDUSTRIAL BLVD
LEXINGTON SC
29072-3731
US

V. Phone/Fax

Practice location:
  • Phone: 803-587-1008
  • Fax: 803-788-4853
Mailing address:
  • Phone: 803-490-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHELIA LORRAINE GLENN
Title or Position: MANAGER
Credential:
Phone: 803-587-1008