Healthcare Provider Details

I. General information

NPI: 1346030954
Provider Name (Legal Business Name): TRUE DIGNITY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 DUTCH SQUARE BLVD STE 121
COLUMBIA SC
29210-7318
US

IV. Provider business mailing address

3941 CHARLESTON HWY LOT 140
WEST COLUMBIA SC
29172-2915
US

V. Phone/Fax

Practice location:
  • Phone: 803-563-5334
  • Fax:
Mailing address:
  • Phone: 909-361-2192
  • 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
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: KEYSHAUN PERNAIL DAVIS
Title or Position: OWNER
Credential:
Phone: 803-521-4761