Healthcare Provider Details

I. General information

NPI: 1124952080
Provider Name (Legal Business Name): MAINDOUE HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 CLAIRBORNE PL
COLUMBIA SC
29229-7796
US

IV. Provider business mailing address

128 CLAIRBORNE PL
COLUMBIA SC
29229-7796
US

V. Phone/Fax

Practice location:
  • Phone: 803-795-2559
  • Fax:
Mailing address:
  • Phone: 803-795-2559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name: COURTNEY CHRISTINE RAMSEY
Title or Position: CEO
Credential:
Phone: 803-795-2559