Healthcare Provider Details

I. General information

NPI: 1285551150
Provider Name (Legal Business Name): HABOR CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 MAIN ST STE 501
COLUMBIA SC
29201-5801
US

IV. Provider business mailing address

1501 MAIN ST STE 501
COLUMBIA SC
29201-5801
US

V. Phone/Fax

Practice location:
  • Phone: 803-510-5252
  • Fax:
Mailing address:
  • Phone: 803-510-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OMORUYI FREDRICK ERHABOR
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 803-201-7270