Healthcare Provider Details

I. General information

NPI: 1427475292
Provider Name (Legal Business Name): PH HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 HIGHWAY 153 STE B
EASLEY SC
29642-9161
US

IV. Provider business mailing address

4741 HIGHWAY 153 STE B
EASLEY SC
29642-9161
US

V. Phone/Fax

Practice location:
  • Phone: 864-991-8414
  • Fax: 964-991-8404
Mailing address:
  • Phone: 864-991-8414
  • Fax: 964-991-8404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JILL D BIRMINGHAM
Title or Position: CEO
Credential: BSW, LNHA
Phone: 864-991-8414