Healthcare Provider Details

I. General information

NPI: 1629900154
Provider Name (Legal Business Name): ERICA DENHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 GREGG ST STE 7
COLUMBIA SC
29201-3527
US

IV. Provider business mailing address

120 WILLOW WINDS DR
COLUMBIA SC
29210-4454
US

V. Phone/Fax

Practice location:
  • Phone: 803-218-0400
  • Fax:
Mailing address:
  • Phone: 803-638-2504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIHCP-2443
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberIHCP-2443
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberIHCP-2443
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: