Healthcare Provider Details

I. General information

NPI: 1861011132
Provider Name (Legal Business Name): CAST YOUR CARE HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2712 MIDDLEBURG DR STE 209
COLUMBIA SC
29204-2415
US

IV. Provider business mailing address

2712 MIDDLEBURG DR STE 209
COLUMBIA SC
29204-2415
US

V. Phone/Fax

Practice location:
  • Phone: 803-606-3327
  • Fax: 803-888-7462
Mailing address:
  • Phone: 803-606-3327
  • Fax: 803-888-7462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LINDA FULTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 803-606-3327