Healthcare Provider Details

I. General information

NPI: 1124455514
Provider Name (Legal Business Name): FIRST PRIORITY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WILDEWOOD PARK DR
COLUMBIA SC
29223-4300
US

IV. Provider business mailing address

111 WILDEWOOD PARK DR
COLUMBIA SC
29223-4300
US

V. Phone/Fax

Practice location:
  • Phone: 803-661-8805
  • Fax: 803-403-8901
Mailing address:
  • Phone: 803-661-8805
  • Fax: 803-403-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD L FLETCHER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 803-661-8805