Healthcare Provider Details

I. General information

NPI: 1245217249
Provider Name (Legal Business Name): NOC HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HARRY BYRD HWY
DARLINGTON SC
29532-3516
US

IV. Provider business mailing address

PO BOX 1237
DARLINGTON SC
29540-1237
US

V. Phone/Fax

Practice location:
  • Phone: 843-393-4230
  • Fax: 843-393-7131
Mailing address:
  • Phone: 843-393-4230
  • Fax: 843-393-7131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateSC

VIII. Authorized Official

Name: MS. LESLIE K MCELVEEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-393-4230